Correspondence issued by the General Accounting Office with an abstract that begins "The federal government is an important sponsor of math and science education for elementary and secondary school students. GAO identified at least 61 federally funded projects that are designed to improve students' skills in these key areas. The materials in these projects are taught over the course of a partial school year, single school year, or multiple school years. Algebra, calculus, and basic math are a few of the subjects being taught students through grade 12. In the science programs, students are exposed to biology, astronomy, and natural science. Federal agencies generally support programs that are relevant to their own agency missions. For example, the Environmental Protection Agency funds programs that teach students about water quality and conservation, and the National Aeronautics and Space Administration funds the Astronomy Village, a multimedia program that teaches students about stars and stellar evolution."

Correspondence issued by the Government Accountability Office with an abstract that begins "In 2010, the 55 highest-expenditure Part B drugs represented $16.9 billion in spending, or about 85 percent of all Medicare spending on Part B drugs, which totaled $19.5 billion. The number of Medicare beneficiaries who received each of these drugs varied from 15.2 million receiving the influenza vaccines to 660 hemophilia A patients receiving a group of biologicals known collectively as factor viii recombinant, which had the largest average annual cost per beneficiary--$217,000. Our analysis showed that most of the 55 drugs increased in expenditures, prices, and average annual cost per beneficiary from 2008 to 2010. The 5 drugs with the largest increase in Medicare expenditures over this time period also had the largest increase in the number of beneficiaries receiving each drug. Four of the 10 drugs which showed the greatest increase in expenditures were also among the 10 drugs showing the greatest price increases."

A letter report issued by the Government Accountability Office with an abstract that begins "As the financial services industry has become increasingly concentrated in a number of large, internationally active firms offering an array of products and services, the adequacy of the U.S. financial regulatory system has been questioned. GAO has identified the need to modernize the financial regulatory system as a challenge to be addressed in the 21st century. This report, mandated by the Financial Services Regulatory Relief Act of 2006, discusses (1) measurements of regulatory costs and benefits and efforts to avoid excessive regulatory burden, (2) the challenges posed to financial regulators by trends in the industry, and (3) options to enhance the efficiency and effectiveness of the federal financial regulatory structure. GAO convened a Comptroller General's Forum (Forum) with supervisors and leading industry experts, reviewed regulatory agency policies, and summarized prior reports to meet these objectives."

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) operates one of the largest and most complex health systems in the nation and has a dual health care mission--readiness and benefits. The readiness mission provides medical services and support to the armed forces during military operations. The benefits mission provides health care to over 9 million eligible beneficiaries, including active duty personnel, retirees, and dependents worldwide. Past Government Accountability Office (GAO) and other reports have recommended changes to the military health system (MHS) structure. GAO was asked to (1) describe the options for structuring a unified medical command recommended in recent studies by DOD and other organizations and (2) assess the extent to which DOD has identified the potential impact these options would have on the current MHS. GAO analyzed studies and reports prepared by DOD's Joint/Unified Medical Command Working Group, the Defense Business Board, and the Center for Naval Analyses, and interviewed department officials."

A letter report issued by the Government Accountability Office with an abstract that begins "Between 1923 and the early 1990s, a mine near Libby, Montana, shipped millions of tons of asbestos-contaminated vermiculite ore to sites throughout the United States. In 2000, the Environmental Protection Agency (EPA) began to clean up asbestos contamination at the Libby mine and evaluate those sites that received the ore to determine if they were contaminated. Under Superfund program regulations and guidance, EPA regional offices took steps to inform affected communities of contamination problems and agency efforts to address them. GAO was asked to (1) describe the status of EPA's and other federal agencies' efforts to assess and address potential risks at the facilities that received contaminated Libby ore and (2) determine the extent and effectiveness of EPA's public notification efforts about cleanups at sites that received Libby ore. GAO, among other steps, convened focus groups in three of the affected communities to address these issues."

A statement of record issued by the Government Accountability Office with an abstract that begins "A breakdown in information sharing was a major factor contributing to the failure to prevent the September 11, 2001, terrorist attacks. Since then, federal, state, and local governments have taken steps to improve sharing. This statement focuses on government efforts to (1) establish the Information Sharing Environment (ISE), a government-wide approach that facilitates the sharing of terrorism-related information; (2) support fusion centers, where states collaborate with federal agencies to improve sharing; (3) provide other support to state and local agencies to enhance sharing; and (4) strengthen use of the terrorist watchlist. GAO's comments are based on products issued from September 2010 through July 2011 and selected updates in September 2011. For the updates, GAO reviewed reports on the status of Department of Homeland Security (DHS) efforts to support fusion centers, and interviewed DHS officials regarding these efforts. This statement also includes preliminary observations based on GAO's ongoing watchlist work. For this work, GAO is analyzing the guidance used by agencies to nominate individuals to the watchlist and agency procedures for screening individuals against the list, and is interviewing relevant officials from law enforcement and intelligence …

A letter report issued by the Government Accountability Office with an abstract that begins "Women represent an increasingly larger share of the total workforce in the United States--constituting nearly half of the total workforce. In addition, an increasing proportion of women in the workforce are more educated. However, research by GAO and others has shown that women's average pay has been and remains lower than that of men. Questions have been raised about the extent to which less-advantaged women--that is, those who are low wage or less educated--experience lower wages than less-advantaged men. GAO was asked to examine the differences in representation, key characteristics, and pay among women and men (1) with less education and (2) with low wages. GAO defined less-educated workers as those having a high school degree or less and low-wage workers as those earning an hourly wage rate in the bottom quintile--or 20 percent--of wages across the workforce. GAO analyzed data from the Department of Labor's Current Population Survey (CPS); reviewed other work on similar topics; and interviewed agency officials, representatives of women's groups, and other researchers."

A letter report issued by the Government Accountability Office with an abstract that begins "All seven of the agencies in GAO's review--U.S. Customs and Border Protection (CBP), Federal Aviation Administration, Federal Bureau of Investigation, Federal Bureau of Prisons, U.S. Immigration and Customs Enforcement (ICE), Internal Revenue Service (IRS), and Transportation Security Administration--have written policies supporting an employee's ability to earn and use compensatory time off for religious observances. GAO identified several similarities in agency policies and supporting documents in the categories of: (1) employee eligibility, (2) applicability across geographic locations, (3) schedule planning, and (4) implementation. These similarities generally support greater flexibility for employees to seek compensatory time off for religious observances. For example, all agencies have policies that apply to all occupational groups of the agencies' geographical locations and facilities, regardless of a facility's size or the number of employees who work there. In most cases, officials said the agencies followed existing federal rules when developing policies and that they wanted to provide their employees with additional scheduling flexibility. However, IRS introduced additional controls to monitor excessive accumulation of unused compensatory time off for religious observances based on findings by IRS's Inspector General."

A letter report issued by the Government Accountability Office with an abstract that begins "The United States has long been known as a world leader in scientific and technological innovation. To help maintain this advantage, the federal government has spent billions of dollars on education programs in the science, technology, engineering, and mathematics (STEM) fields for many years. However, concerns have been raised about the nation's ability to maintain its global technological competitive advantage in the future. This report presents information on (1) the number of federal programs funded in fiscal year 2004 that were designed to increase the number of students and graduates pursuing STEM degrees and occupations or improve educational programs in STEM fields, and what agencies report about their effectiveness; (2) how the numbers, percentages, and characteristics of students, graduates, and employees in STEM fields have changed over the years; and (3) factors cited by educators and others as affecting students' decisions about pursing STEM degrees and occupations, and suggestions that have been made to encourage more participation. GAO received written and/or technical comments from several agencies. While one agency, the National Science Foundation, raised several questions about the findings, the others generally agreed with the findings …

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Public Buildings Service's (PBS) System for Tracking and Administering Real Property (STAR), focusing on: (1) the functions STAR performs; (2) whether users were having problems using STAR; (3) the steps PBS had taken or is taking to address any user problems; and (4) the actions PBS had taken or plans to take to ensure that STAR data are accurate, reliable, and consistent."

A letter report issued by the Government Accountability Office with an abstract that begins "The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) revised the payment formula for most of the outpatient drugs, including inhalation therapy drugs, covered under Medicare part B. Under the revised formula, effective 2005, Medicare's payment is intended to be closer to acquisition costs. The Centers for Medicare & Medicaid Services (CMS), the agency that administers Medicare, also pays suppliers of inhalation therapy drugs a $5 per patient per month dispensing fee. Suppliers have raised concerns that once drug payments are closer to acquisition costs, they will no longer be able to use overpayments on drugs to subsidize dispensing costs, which they state are higher than $5. As directed by MMA, GAO (1) examined suppliers' acquisition costs of inhalation therapy drugs and (2) identified costs to suppliers of dispensing inhalation therapy drugs to Medicare beneficiaries."

A letter report issued by the Government Accountability Office with an abstract that begins "To properly decide veterans' disability claims, the regional offices of the Department of Veterans Affairs (VA) must obtain all medical evidence required by law and federal regulations. To do so, in fiscal year 2004, the regional offices asked VA's medical centers to examine about 500,000 claimants and provide examination reports containing the necessary medical information. Exams for joint and spine impairments are among the exams that regional offices most frequently request, and in 2002, VA found that 61 percent of the exam reports for such impairments did not provide sufficient information for regional offices to make decisions complying with disability criteria mandated by the U.S. Court of Appeals for Veterans Claims in DeLuca v. Brown, 8 Vet. App. 202 (1995). In DeLuca, the court held that when federal regulations define joint and spine impairment severity in terms of limits on range of motion, VA claims adjudicators must consider whether range of motion is further limited by factors such as pain and fatigue during "flare-ups" or following repetitive use of the impaired joint or spine. Whenever VA regional offices ask VA medical centers to conduct joint and …

Correspondence issued by the Government Accountability Office with an abstract that begins "In August and September of 2003, the Attorney General of the United States visited a number of cities around the country on what has been termed by the Department of Justice (DOJ) as the "USA PATRIOT Act Tour." According to DOJ, the intent of the tour was to (1) educate the public and inform members of Congress about the provisions of the USA PATRIOT Act and (2) receive input and feedback from state and local law enforcement with respect to information sharing among law enforcement agencies and threats to homeland security. We are providing information on the locations and costs of the U.S. Attorney General's travels known as the USA PATRIOT Act Tour, as well as the locations and costs of a series of trips in September 2003 referred to by DOJ as "Life and Liberty" travel. These latter trips involved a series of speeches regarding crime statistics and other topics, including the importance of the USA PATRIOT Act. We are also providing information on the official positions and office assignments of the DOJ staff that accompanied the U.S. Attorney General on each of these travel visits. Additionally, …

A publication issued by the Government Accountability Office with an abstract that begins "The Environmental Protection Agency (EPA) faces a number of management and budgetary challenges, which are particularly important as Congress seeks to decrease the cost of government while improving its performance. EPA operates in a highly complex and controversial regulatory arena, and its policies and programs affect virtually all segments of the economy, society, and government. From fiscal years 2000 through 2010, the agency's budget rose in nominal terms from $7.8 billion to $10.4 billion, but has remained relatively flat over this period in real terms. This testimony highlights some of the major management challenges and budgetary issues facing a range of EPA programs and activities today. This testimony focuses on (1) management of EPA's workload, workforce, and real property; (2) coordination with other agencies to more effectively leverage limited resources; and (3) observations on the agency's budget justifications. This testimony is based on prior GAO products and analysis.."

A letter report issued by the Government Accountability Office with an abstract that begins "The Navy initiated a move away from traditional minesweepers in favor of putting new kinds of anti-mine capabilities aboard ships with a variety of missions--most recently, the Littoral Combat Ship. In addition to a new ship, this approach includes several new systems and new operational concepts. GAO assessed the Navy's progress in (1) developing new mine countermeasures systems, including the Littoral Combat Ship, and (2) introducing these new capabilities to the fleet. To accomplish this, GAO reviewed Navy and program documents and previous GAO work. GAO supplemented its analysis with discussions with Navy and Department of Defense officials and contractors."

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Defense's (DOD) policy and practices for developing core depot maintenance capabilities are creating gaps between actual capabilities and those needed for future national defense emergencies and contingencies. If the existing policy is not clarified and current practices continue, the military depots will not have the equipment, facilities, and trained personnel to provide logistics support on many of the weapon systems and related equipment for military use in the next five to 15 years. Although DOD intends for its depots to have these capabilities, actual practices are much different. Core policy does not adequately take into consideration future systems repair needs and the impact of retiring systems on developing capabilities. Furthermore, the practices of individual services hinder the establishment of future core capabilities and management oversight. Additional investments in new facilities, equipment, and workforce training and revitalization have been limited for some time. Finally, there is no strategic plan and associated service implementation plans to create and sustain a viable depot maintenance capability."

Testimony issued by the General Accounting Office with an abstract that begins "The United States has been providing assistance to Colombia since the early 1970s to help the Colombian National Police and other law enforcement agencies, the military, and civilian agencies reduce illegal drug production and trafficking. Recognizing that illegal drug activities are a serious problem, the Colombian government announced a counternarcotics plan known as Plan Colombia. This testimony reviews the U.S. counternarcotics efforts in Colombia. Although U.S.-provided assistance has enhanced Colombian counternarcotics capabilities, its usefulness has sometimes been limited because of long-standing problems in planning and implementation. For example, little progress has been made in launching a plan to have Colombia's National Police assume a larger role in managing the aerial eradication program, which requires costly U.S. contractor assistance. The governments of the United States and Colombia face continuing and new financial and management challenges in implementing Plan Colombia. The costs and activities needed to implement the plan are unknown at this time, and it will take years before any significant reduction in the drug trade is seen. Colombia must resolve problems with its political and economic stability and improve its management of counternarcotics funding in order to successfully …

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the results of its ongoing examination of the safety and efficacy of the anthrax vaccine, focusing on the: (1) need for a six-shot regimen and annual booster shots; (2) long- and short-term safety of the vaccine; (3) efficacy of the vaccine; (4) extent to which problems the Food and Drug Administration (FDA) found in the vaccine production facility in Michigan could compromise the safety, efficacy, and quality of the vaccine; and (5) effects of the anthrax vaccine on children, pregnant women or lactating women."

A letter report issued by the General Accounting Office with an abstract that begins "Local emergency medical systems (EMS) have reported substantial needs in such areas as personnel, training, equipment, and the availability of doctors to advise emergency personnel in the field. Federal agencies have supported EMS improvements by acting as facilitators rather then by establishing requirements or providing significant funding. The agencies provide technical assistance, set voluntary standards for licensing EMS providers, and administer limited grant funding. The four federal agencies GAO studied have separately begun to collect EMS data or promote data consistency. However, progress in developing this information has been slow. State and local EMS officials attributed the lack of progress to the many competing demands on their time and said that EMS providers and local systems have few incentives to collect and report EMS information."

A letter report issued by the General Accounting Office with an abstract that begins "In January 2000, the Navy chose the Home Port Alliance, a nonprofit group, to receive the U.S.S. New Jersey under the Navy's ship donation program. This report summarizes GAO's findings on the credibility of the selection process and opportunities for improvement. GAO found that the Navy applied its donation evaluation criteria in an impartial, multiple-stage process that led to a credible and objective decision. Although not significant to the outcome of the U.S.S. New Jersey decision, opportunities exist to strengthen the timeliness, clarity of guidance, and communications of the selection process."

Testimony issued by the General Accounting Office with an abstract that begins "Risk management is a systematic and analytical process that weighs the likelihood that a threat will endanger an asset, individual, or function and identifies actions to reduce the risk and mitigate the consequences of an attack. A good risk management approach includes the following three assessments: a threat, a vulnerability, and a criticality. After these assessments have been completed and evaluated, key steps can be taken to better prepare the United States against potential terrorist attacks. Threat assessments alone are insufficient to support the key judgments and decisions that must be made. However, along with vulnerability and criticality assessments, leaders and managers will make better decisions using this risk management approach. If the federal government were to apply this approach universally and if similar approaches were adopted by other segments of society, the United States could more effectively and efficiently prepare in-depth defenses against terrorist acts."

A letter report issued by the General Accounting Office with an abstract that begins "The National Defense Authorization Act for 2001 authorized the military archives to (1) charge fees to persons requesting information and (2) retain collected fees to help defray costs of providing the information. Although none of the archives has yet implemented a fee, one archive plans to do so by October 2001. The Department of Defense's (DOD) archives and other offices are also authorized under both the User Charge Statute and the Freedom of Information Act (FOIA) to charge for information provided to the public. However, neither of these statutes authorizes an agency to retain those fees. The four designated archives are charging fees to public requesters but are not using the fee schedule mandated by the DOD regulation implementing the User Charge Statute. Similarly, DOD's fee schedules for charges under FOIA are outdated. DOD's inconsistent use of the authority to charge fees and the use of outdated DOD fees schedules result in uncollected fees of a million dollars or more annually and inconsistent handling of public requests for historical information."

A publication issued by the Government Accountability Office with an abstract that begins "In the wake of increased product recalls in 2007-2008, Congress passed the Consumer Product Safety Improvement Act of 2008 (CPSIA). Among other things, CPSIA requires the Consumer Product Safety Commission (CPSC) to establish a database on the safety of consumer products that is publicly available, searchable, and accessible through the CPSC Web site. In response, CPSC launched SaferProducts.gov in March 2011. The Department of Defense and Full Year Continuing Appropriations Act of 2011 requires GAO to report on the data collected by CPSC in its safety information database. This report examines (1) the information required for submitting a report of harm to SaferProducts.gov, (2) the information used to identify the product and to allow CPSC to review manufacturer claims of material inaccuracy in a report of harm, and (3) the length of time CPSC takes to review a manufacturer's claim that a report contains materially inaccurate information. To do this work, GAO analyzed agency data, regulations, and CPSC program documentation and interviewed CPSC staff and various industry and consumer representatives."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the crime technology assistance provided by the Department of Defense (DOD) to state and local law enforcement agencies during fiscal years (FY) 1996 through 1998, focusing on: (1) grants or other types of direct federal funding; (2) access to support services and systems, such as counterdrug or other intelligence centers; and (3) in-kind transfers of equipment or other assets."