Fee Approval Form

REQUEST FOR FEE INCREASE/ESTABLISHMENT/DECREASE

PART 1 (State agencies: Complete when requesting authority to increase or establish fees administratively, or when notifying DAS of a fee decrease.)

 

Date received:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Agency Name:

Agency Number:

Division/Program:

Contact:

 

Brief Description of Fee Change:

       

(Name and phone number.)

 

 
 

(Address)

 

 
 

(City, State, Zip)

 

Check one:

 

[ ]

Fee Increase

[ ]

Fee Establishment

[ ]

Fee Decrease

Statutory Authority for fee:

Please check all statements that apply and provide the anticipated date(s) below:

[ ] Date proposed rule(s), or rule(s) change, to be filed with the Secretary of State:

[ ] Anticipated rule adoption date:

[ ] Date fee schedule becomes effective:

[ ] Date of proposed E-Board Action:

REQUIRED - Attach Form 107BF22 and cover letter, with information on each fee affected. (See instructions on back.)

Approved:

[ ]

Denied:

[ ]

Date: ____/____/____

By:  

[ ] Reviewed by:  

 

Director, Department of Administrative Services

PART 2  (State agencies: Complete following rule adoption or fee effective date.)

Administrative Rule Reference:  

Date rule adopted or fee effective: ____/____/____*

Actual fee amount(s) adopted:  

Authorized agency signature:  

 Date: ____/____/____

*Form must be returned to DAS within 10 days of the date rule is adopted or fee is effective.

DAS Contact for questions: Kristin Keith via email at: Kristin.Keith@oregon.gov

 

Note: Approval good only through July 1 of the next odd-numbered year or sine die, whichever is later, unless approved in legislation by the Regular Session of the Legislative Assembly.

 

 

Instructions for completing the Fee Approval Form (107BF21)

 

When to complete form 107BF21

ORS 291.055 requires agencies to get approval from DAS to establish, increase or decrease fees in certain cases, before the fees take effect. This requirement was originally passed by the 1995 Legislature in Senate Bill 333, and is still commonly known as the “SB 333 process.” Form 107BF21 must be completed, with few exceptions, any time an agency is establishing or changing fee amounts. However, DAS approval and form 107BF21 is not required for fees anticipated in the legislative budget process. Other exceptions can be found in ORS 291.055(2).

 

Reporting Requirements

When establishing or changing a fee, an agency must submit the following information to their DAS, Chief Financial Office, Budget and Management Analyst:

1.  Form 107BF21 – with Part 1 fully completed.

2.  Form 107BF22 – Fee Change Detail Report fully completed.

3.  A cover letter on agency letterhead that provides an overview of and provides context for the impact of the fee change or establishment. The cover letter should include the following information, when relevant, in order for DAS to review the proposal:

a.  An explanation of why the fee change or new fee is required. For example, was the fee change necessary due to:

 An increase or decrease in Federal Funds or Other Funds revenues?

 Increased program costs? If so, please explain what factors have contributed to rising costs.

 Changes in transaction volumes like number of fee payers or renewals? Please provide trend information and related FTE workload statistics.

 A new fee created by statute?

 Policy changes? Regulatory streamlining? Please explain.

 Other?

b.  A summary of program funding. For example, how much of the program is covered by fee revenues? How much by General Fund or Federal Funds? Will the new fee level allow replacement of General Fund? Do statutes/rules require General Fund to constitute a minimum proportion of overall program funding?

c.  An estimate of the timeframe the proposed fee will sustain the program. Please explain the underlying assumptions.

d.  A table showing calculations if the fee is based on a sliding scale.

e.  A summary of who pays the fee and the stakeholders and recipients of the program.

f.  An overview of stakeholder/fee payer participation in the fee-setting process, including: a summary of stakeholder impacts; any outreach done to garner stakeholder input prior to setting the new fee level; and whether there is stakeholder approval or opposition to the new rate. If opposition, summarize those comments. If the only outreach done was via public comment during rulemaking please state so. Also, please identify if the fees relate to policy discussions/concerns raised during the Legislative session, and provide a summary of those discussions/concerns.

 

Process

After submission of required information, your CFO BAM Analyst will draft a recommendation memo and route it, along with forms 107BF21 and 107BF22 and the cover letter, through the DAS approval process. Once approved or denied, form 107BF21 will be returned to the agency. If approved, the agency must complete Part 2 and submit the form to DAS within 10 days of the date the rule is adopted or the proposed fee is effective.