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VA Health Care: Preliminary Findings on the Department of Veterans Affairs Health Care Budget Formulation for Fiscal Years 2005 and 2006 (open access)

VA Health Care: Preliminary Findings on the Department of Veterans Affairs Health Care Budget Formulation for Fiscal Years 2005 and 2006

Correspondence issued by the Government Accountability Office with an abstract that begins "This report documents the information we provided to Congress in a briefing on February 2, 2006, in response to a request concerning the Department of Veterans Affairs (VA) internal budget formulation process. This includes information that VA develops for its budget submission to the Office of Management and Budget (OMB), but it does not include information on subsequent interactions that occur between VA and OMB. We will do additional work to incorporate information from OMB and complete our analysis in a report to be issued at a later date. Congress requested information on VA's budget formulation process because of its interest in ensuring that VA's budget forecasts are accurate and based on valid patient estimates. In response to the request for information on VA's internal budget formulation process, this report provides the following for fiscal years 2005 and 2006: (1) a description of VA's process for developing its budget submission to OMB for its medical programs, and the role of VA's actuarial model; (2) a description of the medical program activities cited by VA as needing additional funding, and how VA identified these activities; and (3) key factors …
Date: February 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Improper Payments: Posthearing Questions Related to Agencies Meeting the Requirements of the Improper Payments Information Act of 2002 (open access)

Improper Payments: Posthearing Questions Related to Agencies Meeting the Requirements of the Improper Payments Information Act of 2002

Correspondence issued by the Government Accountability Office with an abstract that begins "On March 9, 2006, we testified before Congress at a hearing entitled, "Reporting Improper Payments: A Report Card on Agencies' Progress." At the hearing, we discussed our findings on federal agencies' challenges in meeting the requirements of the Improper Payments Information Act (IPIA) of 2002 based on our review of agencies' fiscal year 2005 performance and accountability reports (PAR) and annual reports. We were asked to provide answers to the following follow-up questions relating to our March 9, 2006, testimony: (1) What concerns does GAO have regarding not only DHS' inability to comply with the Improper Payments Information Act; but on a greater scale with their overall financial management? (2) About which Agencies that reported in their fiscal year 2005 Performance and Accountability Report that they had no programs susceptible to significant improper payments does GAO have concerns about? (3) Should "unavoidable overpayment" statistics at the Social Security Administration (SSA) be reported to the Office of Management and Budget, and if so why would this be important, and how could the Social Security Administration implement such a process? (4) What concerns does GAO have with the Agency for …
Date: September 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Terrorist Financing: Agencies Can Improve Efforts to Deliver Counter-Terrorism-Financing Training and Technical Assistance Abroad (open access)

Terrorist Financing: Agencies Can Improve Efforts to Deliver Counter-Terrorism-Financing Training and Technical Assistance Abroad

Testimony issued by the Government Accountability Office with an abstract that begins "Disrupting terrorists' financing is necessary to impede their ability to organize, recruit, train, and equip adherents. U.S. efforts to strengthen domestic and global security include, among others, the provision of training and technical assistance in countering terrorist financing abroad. An interagency Terrorist Financing Working Group (TFWG), chaired by the U.S. Department of State (State), coordinates the delivery of this training and technical assistance to "priority" countries--those considered most vulnerable to terrorist financing schemes--as well as to other vulnerable countries. In addition, the Department of the Treasury (Treasury) Office of Foreign Assets Control (OFAC) leads U.S. efforts to block access to designated terrorists' assets that are subject to U.S. jurisdiction. In response to multiple congressional requesters, GAO examined U.S. efforts to combat terrorist financing abroad, publishing the report in October 2005. In this testimony, GAO discusses the report's findings about challenges related to (1) TFWG's coordination of the counter-terrorism-financing training and technical assistance abroad and (2) Treasury's measurement of results and provision of information needed to assess OFAC's efforts to block terrorist assets."
Date: April 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Internal Control: Analysis of Joint Study on Estimating the Costs and Benefits of Rendering Opinions on Internal Control over Financial Reporting in the Federal Environment (open access)

Internal Control: Analysis of Joint Study on Estimating the Costs and Benefits of Rendering Opinions on Internal Control over Financial Reporting in the Federal Environment

Correspondence issued by the Government Accountability Office with an abstract that begins "The Department of Homeland Security (DHS) Financial Accountability Act, Public Law Number 108-330, requires DHS management to provide an assertion on the internal control that applies to financial reporting for fiscal year 2005 and to obtain an auditor's opinion on the department's internal control over its financial reporting for fiscal year 2006. The act also directs the Chief Financial Officers (CFO) Council and the President's Council on Integrity and Efficiency (PCIE) to conduct a joint study, and report to the Congress and to the Comptroller General of the United States, on the potential costs and benefits of requiring agencies subject to the Chief Financial Officers Act of 1990 to obtain audit opinions of their internal control over financial reporting. The DHS Financial Accountability Act also requires that the Comptroller General of the United States review the joint study and report the results of this analysis to the Congress. In December 2005, we briefed available committee staff on our preliminary analysis of the joint study. This report provides further details on our review and on our views regarding a requirement for federal agencies to obtain audit opinions on their …
Date: September 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Endangered Species: Time and Costs Required to Recover Species Are Largely Unknown (open access)

Endangered Species: Time and Costs Required to Recover Species Are Largely Unknown

Correspondence issued by the Government Accountability Office with an abstract that begins "The Endangered Species Act of 1973 protects species facing extinction (endangered species) or likely to face extinction (threatened species) and the ecosystems upon which they depend. The act has long been a lightning rod for political debate about the extent to which the nation's natural resources should be protected and how best to protect them. Implementation of the act has also been the subject of numerous lawsuits that have consumed significant program resources. Since the act's inception, about 1,300 domestic species have been placed on the list of threatened and endangered species. Supporters of the act claim it is an indication of the act's success that only 9 of these species have gone extinct; particularly, since by the time they are listed species, they are often in critical condition. Critics, on the other hand, counter that it is an indication of the act's failure that only 17 of these species have "recovered," or improved to the point that they no longer need the act's protection. However, we believe that these numbers, by themselves, are not a good gauge of the act's success or failure; additional information on when, …
Date: April 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Military Disability Evaluation: Ensuring Consistent and Timely Outcomes for Reserve and Active Duty Service Members (open access)

Military Disability Evaluation: Ensuring Consistent and Timely Outcomes for Reserve and Active Duty Service Members

Testimony issued by the Government Accountability Office with an abstract that begins "The House Subcommittee on Military Personnel asked GAO to discuss the results of its recent study on the Military Disability Evaluation System. In this study, GAO determined (1) how current DOD policies and guidance for disability determinations compare for the Army, Navy, and Air Force, and what policies are specific to reserve component members of the military; (2) what oversight and quality control mechanisms are in place at DOD and these three services of the military to ensure consistent and timely disability decisions for active and reserve component members; and (3) how disability decisions, ratings, and processing times compare for active and reserve component members of the Army, the largest branch of the service, and what factors might explain any differences."
Date: April 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Space Acquisitions: Improvements Needed in Space Systems Acquisitions and Keys to Achieving Them (open access)

Space Acquisitions: Improvements Needed in Space Systems Acquisitions and Keys to Achieving Them

Testimony issued by the Government Accountability Office with an abstract that begins "DOD's space system acquisitions have experienced problems over the past several decades that have driven up costs by hundreds of millions, even billions of dollars, stretched schedules by years, and increased performance risks. GAO was asked to testify on its findings on space acquisition problems and steps needed to improve outcomes."
Date: April 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Propulsion Systems for Navy Ships and Submarines (open access)

Propulsion Systems for Navy Ships and Submarines

Correspondence issued by the Government Accountability Office with an abstract that begins "In recent years, the Navy has used nuclear propulsion systems for its submarines and most aircraft carriers and conventional propulsion systems that rely on fossil fuel for its surface combatants and amphibious warfare ships. As the Navy looks to design an affordable force that is capable of meeting future security challenges, some of the assumptions and factors that have guided past Navy decisions on propulsion systems may require reassessment. For example, technological advances have enabled greater efficiency in both nuclear and conventional propulsion systems. Moreover, the cost of fossil fuel has risen sharply in recent years. Congress requested that we review the Navy's assessment of alternative propulsion methods for submarines and surface combatants. Our objectives were to determine (1) the status and scope of key Navy studies on alternative propulsion methods, (2) the major improvements to existing propulsion systems, (3) near-term and future ships' propulsion systems, and (4) the various ship propulsion related technologies the Navy is pursuing. In March 2006, we provided you with a briefing of our findings regarding propulsion systems for Navy ships and submarines. This report summarizes the results of that briefing as well …
Date: July 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Federal Real Property: Excess and Underutilized Property Is an Ongoing Problem (open access)

Federal Real Property: Excess and Underutilized Property Is an Ongoing Problem

Testimony issued by the Government Accountability Office with an abstract that begins "At the start of each new Congress since 1999, we have issued a special series of reports entitled the Performance and Accountability Series: Major Management Challenges andProgram Rsks. In January 2003, GAO designated federal real property a high-risk area and issued an update in January 2005 on this area. GAO identified excess and underutilized property as one of the major reasons for the high-risk designation. This testimony discusses GAO's designation of federal real property as a high-risk area, focusing on excess and underutilized property and describes various efforts to address the problem and what more needs to be done."
Date: February 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Senior Community Service Employment Program: Labor Has Made Progress Implementing Older Americans Act Amendments of 2000, but Challenges Remain (open access)

Senior Community Service Employment Program: Labor Has Made Progress Implementing Older Americans Act Amendments of 2000, but Challenges Remain

Testimony issued by the Government Accountability Office with an abstract that begins "The aging of the baby boom generation and increased life expectancy pose serious challenges for our nation. Older adults often must re-enter the workforce in order to remain self-sufficient. The Senior Community Service Employment Program (SCSEP) is the only federal program that is specifically designed to assist low-income older adults by providing part-time community service jobs and training to prepare for employment. Since passage of the 2000 Older Americans Act Amendments (OAA), SCSEP has also increasingly focused on promoting economic self-sufficiency through placement in unsubsidized employment. In 2005, Congress appropriated about $439 million to serve about 100,000 older workers. Administered by the Department of Labor (Labor), SCSEP is implemented through 69 grantees, including 13 national organizations and 56 state and territorial agencies. The Chairman of the Senate Special Committee on Aging asked GAO to (1) determine what effect the OAA Amendments have had on the distribution of SCSEP funds to national and state grantees, (2) describe the progress Labor has made in implementing the enhanced performance accountability system, and (3) identify the challenges faced by national and state grantees in managing the SCSEP program."
Date: April 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Highlights of a GAO Forum: Federal Acquisition Challenges and Opportunities in the 21st Century (open access)

Highlights of a GAO Forum: Federal Acquisition Challenges and Opportunities in the 21st Century

Other written product issued by the Government Accountability Office with an abstract that begins "Acquisition of products and services from contractors consumes about a quarter of discretionary spending governmentwide and is a key function in many federal agencies. In fiscal year 2005 alone, federal government contracting involved over $388 billion. The work of the government is increasingly being performed by contractors, including in emergency and large-scale logistics operations such as hurricane response and recovery and the war in Iraq. Many agencies rely extensively on contractors to carry out their basic missions. The magnitude of the government's spending and dependence on contractors make it imperative that this function be performed as efficiently and effectively as possible. Yet, acquisition issues are heavily represented on GAO's list of government high-risk areas. In the 21st century, the government needs to reexamine and evaluate its strategic and tactical approaches to acquisition. To identify and discuss the key issues confronting the federal acquisition community, the Comptroller General hosted a forum in July 2006 that brought together acquisition experts from inside and outside the government. Participants shared their insights on challenges and opportunities for improving federal acquisition in an environment of increasing reliance on contractors and severe …
Date: October 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Small Business Administration: Improvements Made, but Loan Programs Face Ongoing Management Challenges (open access)

Small Business Administration: Improvements Made, but Loan Programs Face Ongoing Management Challenges

Testimony issued by the Government Accountability Office with an abstract that begins "The Small Business Administration's (SBA) purpose is to promote small business development and entrepreneurship through business financing, government contracting, and technical assistance programs. SBA's largest business financing program is its 7(a) program, which provides guarantees on loans made by private-sector lenders to small businesses that cannot obtain financing under reasonable terms and conditions from the private sector. In addition, SBA's Office of Disaster Assistance makes direct loans to households to repair or replace damaged homes and personal property and to businesses to help with physical damage and economic losses. This testimony, which is based on a number of reports that GAO issued since 1998, discusses (1) changes in SBA's oversight of the 7(a) business loan program; (2) steps SBA has taken to improve its management of information technology, human capital, and financial reporting for business loans; and (3) SBA's administration of its disaster loan program."
Date: April 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Hurricanes Katrina and Rita Disaster Relief: Continued Findings of Fraud, Waste, and Abuse (open access)

Hurricanes Katrina and Rita Disaster Relief: Continued Findings of Fraud, Waste, and Abuse

Testimony issued by the Government Accountability Office with an abstract that begins "Hurricanes Katrina and Rita destroyed homes and displaced millions of individuals. While the Federal Emergency Management Agency (FEMA) continues to respond to this disaster, GAO's previous work identified significant control weaknesses--specifically in FEMA's Individuals and Households Program (IHP) and in the Department of Homeland Security's (DHS) purchase card program--resulting in significant fraud, waste, and abuse. Today's testimony will address whether FEMA provided improper and potentially fraudulent (1) rental assistance payments to registrants at the same time it was providing free housing via trailers and apartments; (2) duplicate assistance payments to individuals who claimed damages to the same property for both hurricanes Katrina and Rita; and (3) IHP payments to non-U.S. residents who did not qualify for IHP. This testimony will also discuss (1) the importance of fraud identification and prevention, and (2) the results of our investigation into property FEMA bought using DHS purchase cards. To address these objectives, GAO data mined and analyzed FEMA records and interviewed city officials, university officials, and foreign students. GAO also traveled to Louisiana and Texas to inspect selected property items and to investigate improper housing payments to individuals living in FEMA-provided …
Date: December 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
National Saving: Current Saving Decisions Have Profound Implications for Our Nation's Future Well-Being (open access)

National Saving: Current Saving Decisions Have Profound Implications for Our Nation's Future Well-Being

Testimony issued by the Government Accountability Office with an abstract that begins "The Chairman of the Senate Committee on Finance asked GAO to testify on our nation's low saving and discuss the implications for long-term economic growth. National saving--the portion of a nation's current income not consumed--is the sum of saving by households, businesses, and all levels of government. National saving represents resources available for investment to replace old factories and equipment and to buy more and better capital goods. Higher saving and investment in a nation's capital stock contribute to increased productivity and stronger economic growth over the long term."
Date: April 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Hanford Waste Treatment Plant: Contractor and DOE Management Problems Have Led to Higher Costs, Construction Delays, and Safety Concerns (open access)

Hanford Waste Treatment Plant: Contractor and DOE Management Problems Have Led to Higher Costs, Construction Delays, and Safety Concerns

Testimony issued by the Government Accountability Office with an abstract that begins "The Waste Treatment Plant Project at the Department of Energy's (DOE) Hanford site in southeastern Washington state is a massive effort to stabilize and prepare for disposal 55 million gallons of radioactive and hazardous wastes currently held in underground tanks. In 2000, DOE awarded an 11-year, $4.3 billion contract project to Bechtel National, Inc. (Bechtel) to design and construct the plant. Since then, numerous problems and changes have occurred that will significantly increase the project's final cost and completion date. This testimony discusses (1) how and why the project's cost and schedule have changed since 2000; (2) the status of DOE and Bechtel efforts to address these problems and improve project management; and (3) our observations on issues that need to be addressed in going forward. It is based on previous GAO reports and ongoing work."
Date: April 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Global Health: Spending Requirement Presents Challenges for Allocating Prevention Funding under the President's Emergency Plan for AIDS Relief (open access)

Global Health: Spending Requirement Presents Challenges for Allocating Prevention Funding under the President's Emergency Plan for AIDS Relief

Testimony issued by the Government Accountability Office with an abstract that begins "The U.S. Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 authorizes the President's Emergency Plan for AIDS Relief (PEPFAR). It promotes the ABC model (Abstain, be faithful, or use Condoms); recommends that 20 percent of funds appropriated pursuant to the act be spent on prevention; and requires that, starting in fiscal year 2006, 33 percent of prevention funds appropriated pursuant to the act be spent on abstinence-until-marriage activities. The Office of the U.S. Global AIDS Coordinator (OGAC) oversees PEPFAR and administers the Global HIV/AIDS Initiative (GHAI) account, the main repository for PEPFAR funds. For our April 2006 report, GAO reviewed PEPFAR prevention funding trends; described the PEPFAR strategy to prevent sexual transmission of HIV; and examined related challenges. The report recommended that the Coordinator collect and report information on the effects of the abstinence-until-marriage spending requirement and use it to, among other things, assess whether the requirement should apply only to the GHAI account. OGAC agreed to collect information but disagreed with applying the requirement only to certain funds; GAO modified the recommendation. GAO also suggested Congress use the information to assess how well the requirement supports …
Date: September 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Hurricane Katrina: Policies and Procedures Are Needed to Ensure Appropriate Use of and Accountability for International Assistance (open access)

Hurricane Katrina: Policies and Procedures Are Needed to Ensure Appropriate Use of and Accountability for International Assistance

Testimony issued by the Government Accountability Office with an abstract that begins "In response to Hurricane Katrina, countries and organizations donated to the United States government cash and in-kind donations, including foreign military assistance. The National Response Plan establishes that the Department of State (DOS) is the coordinator of all offers of international assistance. The Federal Emergency Management Agency (FEMA) within the Department of Homeland Security (DHS) is responsible for accepting the assistance and coordinating its distribution. GAO's testimony covers (1) the amount and use of internationally donated cash and (2) the extent to which federal agencies with responsibilities for international in-kind assistance offered to the United States had policies and procedures to ensure the appropriate accountability for the acceptance and distribution of that assistance."
Date: April 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Unmanned Aircraft Systems: Improved Planning and Acquisition Strategies Can Help Address Operational Challenges (open access)

Unmanned Aircraft Systems: Improved Planning and Acquisition Strategies Can Help Address Operational Challenges

Testimony issued by the Government Accountability Office with an abstract that begins "The current generation of unmanned aircraft systems (UAS) has been in development for defense applications since the 1980's. As of February 2006, the Department of Defense (DOD) had more than 3,000 unmanned aircraft, about 2,000 of which are supporting ongoing operations in Iraq. DOD's 2006 Quadrennial Defense Review validates the importance of unmanned systems and establishes plans to significantly expand investment in unmanned systems and their use in military operations over the next several years. The Congress has been particularly interested in DOD's approach to determining UAS needs and managing the growing number of UAS programs. This testimony addresses GAO's prior work and preliminary observations on (1) the operational successes and challenges U.S. forces are experiencing with UAS in combat operations, and the extent to which DOD has taken steps to address challenges; (2) DOD's progress in establishing a strategic plan and oversight framework to guide joint and service-specific UAS development efforts and related investment decisions; and (3) our assessment of the Global Hawk and Predator programs' business cases and acquisition strategies and the lessons learned that can be applied to the Joint Unmanned Combat Air Systems program."
Date: April 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Internal Revenue Service: Assessment of the Interim Results of the 2006 Filing Season and Fiscal Year 2007 Budget Request (open access)

Internal Revenue Service: Assessment of the Interim Results of the 2006 Filing Season and Fiscal Year 2007 Budget Request

Testimony issued by the Government Accountability Office with an abstract that begins "The Internal Revenue Service's (IRS) filing season performance affects tens of millions of taxpayers who expect timely refunds and accurate answers to their tax questions. IRS's budget request is a planning tool showing how it intends to provide taxpayer service and enforce the tax laws in 2007. It is also the first in a series of annual steps that will determine whether IRS meets its new long-term goals of increasing tax compliance and reducing taxpayers' acceptance of cheating on their taxes. Tax law enforcement remains on GAO's list of high-risk federal programs, in part, because of the persistence of a large tax gap. IRS recently estimated the gross tax gap, the difference between what taxpayers owe and what they voluntarily pay, to be $345 billion for 2001. GAO assessed (1) IRS's interim 2006 filing season performance; (2) the budget request; and (3) how the budget helps IRS achieve its long-term goals. GAO compared performance and the requested budget to previous years."
Date: April 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
End-Stage Renal Disease: Medicare Payments for All ESRD Services, Including Injectable Drugs, Should Be Bundled (open access)

End-Stage Renal Disease: Medicare Payments for All ESRD Services, Including Injectable Drugs, Should Be Bundled

Testimony issued by the Government Accountability Office with an abstract that begins "This testimony discusses highlights from GAO's report entitled "End-Stage Renal Disease: Bundling Medicare's Payment for Drugs with Payment for All ESRD Services Would Promote Efficiency and Clinical Flexibility." The report examines Medicare payments for certain drugs provided to patients with end-stage renal disease (ESRD), a condition of permanent kidney failure."
Date: December 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Childhood Obesity: Factors Affecting Physical Activity (open access)

Childhood Obesity: Factors Affecting Physical Activity

Correspondence issued by the Government Accountability Office with an abstract that begins "The latest data show continued increases in rates of childhood obesity. For example, obesity rates for children 6 to 11 years old are estimated to have increased from 15.1 to 18.8 percent between 1999 and 2004. The Department of Health and Human Services estimates that 20 percent of children and youth in the United States will be obese by 2010. There are numerous negative health outcomes and financial consequences related to childhood obesity. Researchers have found that childhood obesity is associated with a number of disorders including hypertension, insulin resistance, sleep apnea, menstrual abnormalities, and orthopedic problems. According to one estimate, insured children treated for obesity are approximately three times more expensive for the health system than the average insured child. Some researchers have suggested that childhood obesity is largely the result of a decline in regular physical activity. In our October 2005 report, we surveyed experts on the key strategies to include in the design or implementation of a program to prevent or reduce childhood obesity. The program strategy identified by experts as most important was "increasing physical activity." Congress asked us to provide information on the …
Date: December 6, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
General Counsel - Senator Warner Legal Opinions Submissions (open access)

General Counsel - Senator Warner Legal Opinions Submissions

General Counsel - Senator Warner Legal Opinions Submissions.
Date: January 6, 2006
Creator: United States. Defense Base Closure and Realignment Commission.
System: The UNT Digital Library
General Counsel - Contractors for BRAC "Adds" Installations (open access)

General Counsel - Contractors for BRAC "Adds" Installations

General Counsel - Contractors for BRAC "Adds" Installations.
Date: January 6, 2006
Creator: United States. Defense Base Closure and Realignment Commission.
System: The UNT Digital Library
Commissioner Newton's Material - Otis Air Guard Base, MA (open access)

Commissioner Newton's Material - Otis Air Guard Base, MA

Commissioner Newton's Material - Otis Air Guard Base, MA.
Date: January 6, 2006
Creator: United States. Defense Base Closure and Realignment Commission.
System: The UNT Digital Library