State tax filing

Is this additional form to report and pay back the prorated tax a Federal form?  Does it keep the coronavirus 401k distribution portion of my income off of my Federal AGI in 2021 and 22?

 

More importantly, will this form keep that distribution income away from NY State?  That's the focus of my issue:  sheltering the 401k distribution received in Oregon from NY State over the next 2 tax years.