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Metropolitan Statistical Areas: New Standards and Their Impact on Selected Federal Programs: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "For the past 50 years, the federal government has had a metropolitan area program designed to provide a nationally consistent set of standards for collecting, tabulating, and publishing federal statistics for geographic areas in the United States and Puerto Rico. Before each decennial census, the Office of Management and Budget (OMB) reviews the standards to ensure their continued usefulness and relevance and, if warranted, revises them. While designed only for statistical purposes, various federal programs use the statistical areas to determine eligibility and to allocate federal …
Federal Employees Health Benefits Program: Competition and Other Factors Linked to Wide Variation in Health Care Prices: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "Congress is concerned about the health care spending burden facing the Federal Employees Health Benefits Program (FEHBP), the largest private health insurance program in the country. Health care spending per person varies geographically, and the underlying causes for the spending variation have not been fully explored. Understanding market forces and other factors that may influence health care spending may contribute to efforts to moderate health care spending. Health care spending varies across the country due to differences in its components, the utilization and price of health …
Mammography: Capacity Generally Exists to Deliver Services: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Breast cancer is the second leading cause of cancer deaths among American women. In 2001, 192,200 new cases of breast cancer were diagnosed and 40,200 women died from the disease. The probability of survival increases significantly, however, when breast cancer is discovered in its early stages. Currently, the most effective technique for early detection of breast cancer is screening mammography, an X-ray procedure that can detect small tumors and breast abnormalities up to two years before they can be detected by touch. Nationwide data indicate that …
Medicare Subvention Demonstration: DOD's Pilot HMO Appealed to Seniors, Underscored Management Complexities: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "This interim report reviews the implementation of the Department of Defense (DOD) Medicare Subvention Demonstration. GAO found that the demonstration sites were successful in operating Medicare managed care plans. Officials put substantial effort into meeting Medicare managed care requirements and, according to Health Care Financing Administration reviewers, were generally as successful as other new Medicare managed care plans in this regard. Most sites reached the enrollment limits they had established for retirees already covered by Medicare. DOD officials indicated that the demonstration's effect was positive. Enrollees …
Medicare Subvention Demonstration: Pilot Satisfies Enrollees, Raises Cost and Management Issues for DOD Health Care: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "The Department of Defense's (DOD) Medicare subvention demonstration tested alternate approaches to health care coverage for military retirees. Retirees could enroll in new DOD-run Medicare managed care plans, known as TRICARE Senior Prime, at six sites. The demonstration plan offered enrollees the full range of Medicare-covered services as well as additional TRICARE services, with minimal copayments. During the demonstration period, the program parameters were changed, allowing military retirees age 65 and older to become eligible for TRICARE coverage as of October 1, 2001, and Senior Prime …
Commercial Aviation: Air Service Trends At Small Communities Since October 2000: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Most major U.S. airlines began realizing net operating losses early in the 2001, and all of the major U.S. passenger carriers except Southwest Airlines reported losses for the year. Travelers throughout the nation shared in the difficulties. In October 2000, the typical or median small community that GAO analyzed had service from two airlines, with a total of nine daily departing flights. Forty-one percent of the communities were served by only one airline with size being the most obvious factor for service limitations. However, the level …
Medicare Subvention Demonstration: DOD Start-Up Overcame Obstacles, Yields Lessons, and Raises Issues: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO provided information on the Department of Defense's (DOD) implementation of its Medicare Subvention Demonstration program, focusing on: (1) progress in establishing the ground rules for program operation, receiving Health Care Financing Administration (HCFA) approval, attracting enrollment, and starting to deliver health services; (2) the useful practices and operational difficulties that emerged during program start-up; and (3) issues for the future."
Medicare Subvention Demonstration: DOD Data Limitations May Require Adjustments and Raise Broader Concerns: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO provided information on the Medicare Subvention Demonstration Program, focusing on the sufficiency of the Department of Defense's (DOD) data systems for: (1) determining DOD's historical level of effort (LOE) and Medicare payments; and (2) managing the demonstration and assessing its cost effects."
Sales Taxes: Electronic Commerce Growth Presents Challenges; Revenue Losses Are Uncertain: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the impact of electronic commerce (e-commerce) growth on state and local government sales tax collections, focusing on: (1) how taxes associated with the sale of goods and services over the Internet differ from taxes associated with sales by other remote sellers and in-store sellers; (2) the extent to which each state relies on sales and use tax revenues to fund the services they provide; (3) how much revenue state and local governments are losing this year by …
Medicare Physician Services: Utilization Trends Indicate Sustained Beneficiary Access with High and Growing Levels of Service in Some Areas of the Nation: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "Congress, policy analysts, and groups representing physicians have raised questions about beneficiary access to Medicare physician services. At the same time, high levels of spending for health care in some parts of the country, and rapid increases in spending for physician services, have been identified as factors that threaten the long-term fiscal sustainability of the Medicare program. GAO was asked to assess beneficiary access to physician services and to identify indicators of potential overutilization of physician services. In this report, GAO (1) examines whether, from 2000 …
Identity Theft: Greater Awareness and Use of Existing Data Are Needed: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Identity theft or identity fraud generally involves "stealing" another person's personal identifying information--such as Social Security Number (SSN), date of birth, and mother's maiden name--and then using the information to fraudulently establish credit, run up debt, or take away existing financial accounts. The Identity Theft and Assumption Deterrence Act of 1998 made identity theft a separate crime against the person whose identity was stolen, broadened the scope of the offense to include the misuse of information as well as documents and provided punishment--generally a fine or …
Defense Health Care: 2008 Access to Care Surveys Indicate Some Problems, but Beneficiary Satisfaction Is Similar to Other Health Plans: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) provides health care and mental health care through its TRICARE program. Under TRICARE, beneficiaries may obtain care through TRICARE Prime, an option that includes the use of civilian provider networks and requires enrollment. TRICARE beneficiaries who do not enroll in this option may obtain care from nonnetwork providers through TRICARE Standard, or from network providers through TRICARE Extra. In addition, qualified National Guard and Reserve servicemembers may purchase TRICARE Reserve Select, a plan whose care options are similar to those of …
DEA's Mobile Enforcement Teams: Steps Taken to Enhance Program Management, but More Can Be Done: Report open access
A chapter report issued by the General Accounting Office with an abstract that begins "This report discusses the Drug Enforcement Administration's (DEA) Mobile Enforcement Team Program. GAO found that since the program was established in 1995, DEA has enhanced its management of the program and provided for greater headquarters oversight and monitoring. In implementing the program and carrying out deployments, the field division METs generally complied with some of the pertinent requirements and guidelines that GAO reviewed. However, some DEA headquarters files did not contain adequate documentation, GAO could not determine whether the METs consistently and adequately assessed the requesting …
Medicare Subvention Demonstration: Greater Access Improved Enrollee Satisfaction but Raised DOD Costs: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "In the Balanced Budget Act of 1997, Congress established a three-year demonstration, called Medicare subvention, to improve the access of Medicare-eligible military retirees to care at military treatment facilities (MTF). The demonstration allowed Medicare-eligible retirees to get their health care largely at MTFs by enrolling in a Department of Defense (DOD) Medicare managed care organization known as TRICARE Senior Prime. During the subvention demonstration, access to health care for many retirees who enrolled in Senior Prime improved, while access to MTF care for some of those …
Railroad Regulation: Changes in Freight Railroad Rates from 1997 through 2000: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "The Railroad Revitalization and Regulatory Reform Act of 1976 and the Staggers Rail Act of 1980 gave freight railroads increased freedom to price their services according to market conditions. A number of shippers are concerned that freight railroads have used these pricing freedoms to unreasonably exercise their market power in setting rates for shippers with fewer alternatives to rail transportation. This report updates the rate information in GAO's 1999 report (RCED-99-93) using selected commodities and with effective competitive transportation alternatives. From 1997 through 2000, rail rates …
Railroad Regulation: Changes in Railroad Rates and Service Quality Since 1990: Report open access
A chapter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on: (1) the environment within which railroad rates have been set since 1990; (2) how railroad rates have changed since 1990; (3) how railroad service quality has changed since 1990; and (4) actions taken by the Surface Transportation Board and others to address railroad service quality problems."
VA Vocational Rehabilitation and Employment Program: Improved Oversight of Independent Living Services and Supports Is Needed: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "Of the 9,215 veterans who entered the Department of Veterans Affairs' (VA) Independent Living (IL) track within the Vocational Rehabilitation and Employment (VR&E) program in fiscal years 2008 to 2011, most were male Vietnam era veterans in their 50s or 60s. Almost 60 percent served in the U.S. Army, and fewer than 1 percent served in the National Guard or Reserve. The most prevalent disabilities among these veterans were post-traumatic stress disorder and tinnitus. GAO's review of 182 IL cases from fiscal year 2008 found that …
Airline Deregulation: Changes in Airfares, Service Quality, and Barriers to Entry: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed and updated its previous work on airfares and service and reexamined the effect that certain barriers have had on these measures, focusing on: (1) how airfares have changed since 1990 for travel to and from 171 airports serving various U.S. communities; (2) how the quality of air service has changed since 1978 for travel to and from these airports; and (3) the extent to which certain barriers to entry--restrictive gate-leasing arrangements, controls on the number of allowable takeoffs and …
U.S. Postal Service: Mail Processing Realignment Efforts Under Way Need Better Integration and Explanation: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "Major changes in the mailing industry have reinforced the need for the U.S. Postal Service (USPS) to reduce costs and increase efficiency. In its 2002 Transformation Plan, USPS proposed doing so by realigning its mail processing network. The objectives of this requested report are to (1) describe the status of the initiatives USPS has developed for realignment; (2) evaluate how the planning, impacts, and results of these initiatives align with realignment goals; and (3) evaluate USPS's communication practices with stakeholders in making realignment decisions."
U.S. Postal Service: USPS Has Taken Steps to Strengthen Network Realignment Planning and Accountability and Improve Communication: Text open access
Testimony issued by the Government Accountability Office with an abstract that begins "GAO has issued reports on the U.S. Postal Service's (USPS) strategy for realigning its mail processing network and improving delivery performance information. These reports recommended that the Postmaster General (1) strengthen planning and the overall integration of its realignment efforts, and enhance accountability by establishing measurable targets and evaluating results, (2) improve delivery service standards and performance measures, and (3) improve communication with stakeholders by revising its Area Mail Processing (AMP) Communication Plan to improve public notice, engagement, and transparency. The 2006 postal reform act required USPS to …
VA and Defense Health Care: Evolving Health Care Systems Require Rethinking of Resource Sharing Strategies: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the Department of Veterans Affairs' (VA) and Department of Defense's (DOD) shared health care resources, focusing on: (1) the benefits gained from sharing; (2) the extent to which VA and DOD are sharing health care resources; and (3) barriers and challenges VA and DOD face in their efforts to share health resources."
Environmental Protection: EPA's Use of Funds for Brownfields: Text open access
Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the Environmental Protection Agency's (EPA) use of funds for its brownfield-related initiatives, focusing on the: (1) amount of funds that EPA actually obligated in fiscal years (FY) 1997-1999; (2) amount it plans to obligate in FY 2000; and (3) number of grants and agreements that EPA awarded or plans to award with these funds, along with the recipients of these awards."
Energy Markets: Estimates of the Effects of Mergers and Market Concentration on Wholesale Gasoline Prices: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "In 2008, GAO reported that 1,088 oil industry mergers occurred between 2000 and 2007. Given the potential for price effects, GAO recommended that the Federal Trade Commission (FTC), the agency with the authority to maintain petroleum industry competition, undertake more regular retrospective reviews of past petroleum industry mergers, and FTC said it would consider this recommendation. GAO was asked to conduct such a review of its own to determine how mergers and market concentration--a measure of the number and market shares of firms in a market--affected …
U.S. Postal Service: Progress Made in Implementing Mail Processing Realignment Efforts, but Better Integration and Performance Measurement Still Needed: Text open access
Testimony issued by the Government Accountability Office with an abstract that begins "GAO reported in 2005 on major changes in the mailing industry that have reinforced the need for the U.S. Postal Service (USPS) to reduce costs and increase efficiency. To address these changes and become more efficient, USPS is implementing initiatives aimed at realigning its mail processing network. In a follow-up review, GAO recently reported that USPS has made progress in implementing these initiatives, yet challenges such as maintaining delivery standards and addressing stakeholder and community resistance remain. In July 2006, GAO also reported on USPS's progress in improving …
Commercial Activities Panel: Improving the Sourcing Decisions of the Government; Final Report, April 2002: Text open access
Other written product issued by the General Accounting Office with an abstract that begins "The Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001 (the Act) required that the Comptroller General of the United States convene a panel of experts to study the policies and procedures governing the transfer of commercial activities for the federal government from government personnel to a federal contractor. The Panel held a total of 11 meetings over the period of May 2001 to March 2002, including three public hearings in Washington, D.C., Indianapolis, Indiana, and San Antonio, Texas. In these hearings, panelists heard …
Federal Real Property: Vacant and Underutilized Properties at GSA, VA, and USPS: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "The federal government has many vacant and underutilized properties that are no longer needed. Retaining unneeded real properties presents federal agencies with significant potential risks for (1) lost dollars because such properties are costly to maintain; and (2) lost opportunities because the properties could be put to more cost-beneficial uses, exchanged for other needed property, or sold to generate revenue for the government. The General Services Administration (GSA), the Department of Veterans Affairs (VA), and the U.S. Postal Service (USPS) hold a significant number of real …
Hazard Mitigation: Proposed Changes to FEMA's Multihazard Mitigation Programs Present Challenges: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Over the past 12 years, federal disaster assistance costs have totaled more than $39 billion (in fiscal year 2001 dollars)--a nearly fivefold increase over the previous 12-year period--as a result of a series of unusually large and frequent disasters and an increasing federal role in assisting communities and individuals affected by disasters. The Federal Emergency Management Agency (FEMA), the lead agency for providing federal disaster relief, has provided the bulk of the assistance to help those in need respond to and recover from disasters. As the …
Veterans Disability Benefits: Clearer Information for Veterans and Additional Performance Measures Could Improve Appeal Process: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Veterans Affairs (VA) has struggled to provide timely reviews for veterans who appeal decisions on their disability compensation claims. A veteran appeals to the VA regional office that made the initial decision, and if still dissatisfied, to the Board of Veterans Appeals (Board). An appeal to the Board adds more than 2 years, on average, to the wait for a decision on the appeal. To resolve more appeals at the regional level and avoid waits at the Board, VA, in 2001, established the …
Drug Courts: Better DOJ Data Collection and Evaluation Efforts Needed to Measure Impact of Drug Court Programs: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "In exchange for the possibility of dismissed charges or reduced sentences, defendants with substance abuse problems agree to be assigned to drug court programs. In drug courts, judges generally preside over the proceedings; monitor the progress of defendants; and prescribe sanctions and rewards in collaboration with prosecutors, defense attorneys, and treatment providers. Most decisions about drug court operations are left to local jurisdictions. Although programs funded by the Drug Court Program Office (DCPO) must collect and provide performance measurement and outcome data, the Department of Justice …
Disabled Veterans' Employment: Additional Planning, Monitoring, and Data Collection Efforts Would Improve Assistance: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "To better assist veterans with service-connected disabilities seeking employment, in 2005, the Departments of Labor (Labor) and Veterans Affairs (VA) signed an agreement to coordinate employment services for disabled veterans. Around the same time, VA rolled out a redesigned employment program for these veterans, known as the Five-Track program, which also established an employment coordinator position and job resource labs. To help Congress understand the status of these initiatives, GAO was asked to provide information on (1) the progress in implementing the 2005 agreement and challenges …
VA Health Care: Important Steps Taken to Enhance Veterans' Care by Aligning Inpatient Services with Projected Needs: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Veterans Affairs (VA) operates one of the nation's largest health care systems. In 1999, GAO reported on VA's aged, obsolete capital assets, noting that better management of these assets could significantly reduce VA's operating costs. GAO further noted that VA could reinvest the savings to enhance veterans' health care services. In response, VA initiated its Capital Asset Realignment for Enhanced Services (CARES) process. Through CARES, VA identified what health care services it should provide and in which locations through 2022. The CARES process …
Export Promotion: U.S. Export Assistance Centers Seek To Improve Services: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO examined the activities of the U.S. Export Assistance Centers (USEAC) network, focusing on: (1) the nature of coordination among the federal agencies participating in the USEAC network and between these agencies and nonfederal export-service providers; and (2) USEAC assistance to firms that export services and to firms that are not ready to export but show potential and interest in doing so. The three federal agencies participating in the USEAC network include the Department of Commerce, the Export-Import Bank, and the …
Aviation Safety: Preliminary Information on Aircraft Icing and Winter Operations: Text open access
Testimony issued by the Government Accountability Office with an abstract that begins "Ice formation on aircraft can disrupt the smooth flow of air over the wings and prevent the aircraft from taking off or decrease the pilot's ability to maintain control of the aircraft. Taxi and landing operations can also be risky in winter weather. Despite a variety of technologies designed to prevent ice from forming on planes, as well as persistent efforts by the Federal Aviation Administration (FAA) and other stakeholders to mitigate icing risks, icing remains a serious concern. As part of an ongoing review, this statement provides …
Recovery Act: Opportunities Exist to Increase the Public's Understanding of Recipient Reporting on HUD Programs: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "The American Recovery and Reinvestment Act of 2009 (Recovery Act) has provided about $6 billion in grants for three Department of Housing and Urban Development (HUD) programs that fund housing or community development. As of March 31, 2010, HUD's Capital Fund awarded nearly $3 billion in grants to 3,134 public housing agencies, the Community Development Block Grant-Recovery (CDBG-R) awarded about $1 billion to 1,167 recipients, and the Tax Credit Assistance Program (TCAP) awarded $2.25 billion to 52 state housing finance agencies. The act requires recipients to …
Public Education: Meeting the Needs of Students With Limited English Proficiency: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Experts disagree about the best methods to teach student who speak little English. Even though different approaches to English language instruction may be effective, many variables may influence a given school's program choices. Moreover, there is no clear time line for acquiring English proficiency. Local decisions about the amount of time needed to attain proficiency and the amount of language support that should be provided may differ. Of the two main instructional approaches, English-based instruction is more common than instruction in a student's native language. Most …
Aviation Competition: Regional Jet Service Yet to Reach Many Small Communities: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "The increasing numbers of regional jets (RJ) in operation have provided U.S. air carriers with opportunities to serve new and existing markets. With predominantly 50-seat aircraft, the carriers have initiated service to many large and medium-large communities but have provided less service to smaller communities. Service to small communities--to which the airlines now mostly operate turboprop aircraft--continues to be an important concern, because of the uncertainty about whether those markets may generate enough passenger traffic and revenue to be financially viable to sustain RJ operations. Eventually, …
Telecommunications: Federal and State Universal Service Programs and Challenges to Funding: Report open access
A letter report issued by the General Accounting Office with an abstract that begins ""Universal service" means providing residential customers with affordable, nationwide access to basic phone service. The Telecommunications Act of 1996 extended support for universal service to eligible schools, libraries, and rural health care providers. Universal service programs are generally funded by mandatory contributions from telecommunications companies. New technologies, however, are putting this funding source in jeopardy. The Federal Communications Commission (FCC) has issued many orders designed to implement the act's universal service reforms. The Universal Service Administration Company runs the day-to-day operations of federal universal service programs …
VA Long-Term Care: Implementation of Certain Millennium Act Provisions Is Incomplete, and Availability of Noninstitutional Services Is Uneven: Text open access
Correspondence issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs (VA) spent about $3.1 billion on long-term care in fiscal year 2001, This amount is likely to increase as the veteran population ages. VA provides or pays for long-term care in institutional settings, such as nursing homes, or in veteran's own homes and other community locations. The Veterans Millennium Health Care and Benefits Act of 1999 required VA to offer long-term care services to eligible veterans, including in noninstitutional settings. More than two years after the act's passage, VA has not completely met …
Veterans Health Administration: Improvements Needed in Design of Controls over Miscellaneous Obligations: Text open access
Testimony issued by the Government Accountability Office with an abstract that begins "The Veterans Health Administration (VHA) has been using miscellaneous obligations for over 60 years to record estimates of obligations to be incurred at a later time. The large percentage of procurements recorded as miscellaneous obligations in fiscal year 2007 raised questions about whether proper controls were in place over the authorization and use of billions of dollars. GAO's testimony provides preliminary findings related to (1) how VHA used miscellaneous obligations during fiscal year 2007, and (2) whether the Department of Veterans' Affairs (VA) policies and procedures were designed …
Intercollegiate Athletics: Recent Trends in Teams and Participants in National Collegiate Athletic Association Sports: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "Since the 1970s, the roles of women as both students and athletes have changed in higher education, with female enrollment surpassing male enrollment, and female athletic participation showing gains as well. These changes have generated public interest in whether women participate in athletics at comparable levels to men and whether men's opportunities have decreased as a result of the increased opportunities for women. Under the Comptroller General's authority, GAO assessed the extent to which the numbers of men's and women's intercollegiate sports teams and participants at …
Veterans Health Administration: Improvements Needed in Design of Controls over Miscellaneous Obligations: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "The Veterans Health Administration (VHA) has been using miscellaneous obligations for over 60 years to record estimates of obligations to be incurred at a later time. The large percentage of procurements recorded as miscellaneous obligations in fiscal year 2007 raised questions about whether proper controls were in place over the authorization and use of billions of dollars. GAO was asked to review (1) how VHA used miscellaneous obligations during fiscal year 2007, and (2) whether Department of Veterans Affairs (VA) policies and procedures were designed to …
Combating Terrorism: Need to Eliminate Duplicate Federal Weapons of Mass Destruction Training: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the potential for duplicative weapons of mass destruction training, focusing on: (1) the principal federal organizations that provide weapons of mass destruction training to first responders; (2) whether the training is well coordinated among federal organizations; and (3) actions being taken to improve the federal government's role in weapons of mass destruction training."
Aviation Safety: Improved Planning Could Help FAA Address Challenges Related to Winter Weather Operations: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "Ice formation on aircraft can disrupt the smooth flow of air over the wings and prevent the aircraft from taking off or decrease the pilot's ability to maintain control of the aircraft. Takeoff and landing operations can also be risky in winter weather. Despite persistent efforts by the Federal Aviation Administration (FAA) and others to mitigate icing risks, icing remains a serious concern. GAO reviewed (1) the extent to which commercial airplanes have experienced accidents and incidents related to icing, (2) FAA's inspection and enforcement activities …
VA Health Care: Spending for and Provision of Prosthetic Items: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "In fiscal year 2009, the Department of Veterans Affairs (VA) provided more than 59 million prosthetic items to more than 2 million veterans. After VA physicians and other clinicians prescribe prosthetic items, VA's Prosthetic and Sensory Aids Service (PSAS) is responsible for processing prescriptions and providing prosthetic items to veterans. PSAS is also responsible for managing VA's spending for prosthetic items--more than $1.6 billion in fiscal year 2009. In fiscal year 2008, this spending exceeded VA's budget estimates. Each year, VA makes an initial funding allocation …
Recovery Act: Increasing the Public's Understanding of What Funds Are Being Spent on and What Outcomes Are Expected: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "A hallmark of efforts to implement the $862 billion American Recovery and Reinvestment Act of 2009 (Recovery Act) is to be transparent and accountable about what the money is being spent on and what is being achieved. To help achieve these goals, recipients are to report every 3 months on their award activities and expected outcomes, among other things. This information is available on Recovery.gov, the government's official Recovery Act Web site. As requested, this report covers 11 federal programs focused on broadband, energy, transportation, federal …
Student Mentoring Programs: Education's Monitoring and Information Sharing Could Be Improved: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "As part of the No Child Left Behind Act (NCLBA) of 2001, the Congress authorized a 3-year, $17 million per year school-based mentoring grant program. For fiscal year 2004, Congress has increased funding to about $50 million to fund additional mentoring efforts. Congress requested that GAO provide information on the student mentoring program. To do this, GAO answered the following questions: (1) What are the basic elements, policies, and procedures of successful mentoring programs? (2) What are the key characteristics of NCLBA-funded mentoring efforts, including the …
VA Health Care: Mild Traumatic Brain Injury Screening and Evaluation Implemented for OEF/OIF Veterans, but Challenges Remain: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "Traumatic brain injury (TBI) has emerged as a leading injury among servicemembers serving in the Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) combat theaters. The widespread use of improvised explosive devices, such as roadside bombs, in these combat theaters increases the likelihood that servicemembers will be exposed to incidents that can cause a TBI. TBIs can vary from mild to severe, and in general, mild TBI can be difficult to identify. Because mild TBI can have lasting effects if not identified and treated, concerns …
Community Development: Federal Revitalization Programs Are Being Implemented, but Data on the Use of Tax Benefits Are Limited: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Congress established the Empowerment Zone and Enterprise Community (EZ/EC) program in 1993 and the Renewal Community (RC) program in 2000 to provide assistance to the nation's distressed communities. To date, Congress has authorized three rounds of EZs, two rounds of ECs, and one round of RCs. The Community Renewal Tax Relief Act of 2000 mandated that GAO audit and report in 2004, 2007, and 2010 on the EZ/EC and RC programs and their effect on poverty, unemployment, and economic growth. This report describes (1) the features …
Farm Service Agency: Characteristics of Small County Offices: Report open access
A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the Farm Service Agency (FSA), focusing on the: (1) number of FSA county offices with three or fewer permanent full-time employees; (2) characteristics of these offices, including their proximity to another county office, their workload, the level of FSA program benefits delivered, the relative contribution of farming to total county income, and the number of farms and farmland acres in the counties served by these offices; and (3) ways in which varying the criteria associated with these …
Wildlife Refuges: Changes in Funding, Staffing, and Other Factors Create Concerns about Future Sustainability: Report open access
A letter report issued by the Government Accountability Office with an abstract that begins "The National Wildlife Refuge System, which is administered by the Fish and Wildlife Service in the Department of the Interior, comprises 585 refuges on more than 96 million acres of land and water that preserve habitat for waterfowl and other migratory birds, threatened and endangered species, and other wildlife. Refuges also provide wildlife-related activities such as hunting and fishing to nearly 40 million visitors every year. GAO was asked to (1) describe changing factors that the refuge system experienced from fiscal years 2002 through 2007, including …