Foster Children: HHS Guidance Could Help States Improve Oversight of Psychotropic Prescriptions [Reissued on December 15, 2011] (open access)

Foster Children: HHS Guidance Could Help States Improve Oversight of Psychotropic Prescriptions [Reissued on December 15, 2011]

A letter report issued by the Government Accountability Office with an abstract that begins "What GAO Found"
Date: December 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Indian Country Criminal Justice: Departments of the Interior and Justice Should Strengthen Coordination to Support Tribal Courts (open access)

Indian Country Criminal Justice: Departments of the Interior and Justice Should Strengthen Coordination to Support Tribal Courts

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Justice (DOJ) reports from the latest available data that from 1992 to 2001 American Indians experienced violent crimes at more than twice the national rate. The Department of the Interior (DOI) and DOJ provide support to federally recognized tribes to address tribal justice issues. Upon request, GAO analyzed (1) the challenges facing tribes in adjudicating Indian country crimes and what federal efforts exist to help address these challenges and (2) the extent to which DOI and DOJ have collaborated with each other to support tribal justice systems. To do so, GAO interviewed tribal justice officials at 12 tribes in four states and reviewed laws, including the Tribal Law and Order Act of 2010, to identify federal efforts to assist tribes. GAO selected these tribes based on court structure, among other factors. Although the results cannot be generalized, they provided useful perspectives about the challenges various tribes face in adjudicating crime in Indian country. GAO also compared DOI and DOJ's efforts against practices that can help enhance and sustain collaboration among federal agencies and standards for internal control in the federal government."
Date: February 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
H-1B Visa Program: Reforms Are Needed to Minimize the Risks and Costs of Current Program (open access)

H-1B Visa Program: Reforms Are Needed to Minimize the Risks and Costs of Current Program

A letter report issued by the Government Accountability Office with an abstract that begins "Congress created the H-1B program in 1990 to enable U.S. employers to hire temporary, foreign workers in specialty occupations. The law capped the number of H-1B visas issued per fiscal year at 65,000. Since then, the cap has fluctuated with legislative changes. Congress asked GAO to assess the impact of the cap on the ability of domestic companies to innovate, while ensuring that U.S. workers are not disadvantaged. In response, GAO examined what is known about (1) employer demand for H-1B workers; (2) how the cap affects employer costs and decisions to move operations overseas; (3) H-1B worker characteristics and the potential impact of raising the cap; and (4) how well requirements of the H-1B program protect U.S. workers. GAO analyzed data from 4 federal agencies; interviewed agency officials, experts, and H-1B employers; and reviewed agency documents and literature."
Date: January 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
ACORN: Federal Funding and Monitoring [Reissued on June 17, 2011] (open access)

ACORN: Federal Funding and Monitoring [Reissued on June 17, 2011]

A letter report issued by the Government Accountability Office with an abstract that begins "The Association of Community Organizations for Reform Now (ACORN) was established in 1970 to advocate for low-income families. Allegations of voter registration fraud and videotapes of questionable behavior by ACORN employees raised concerns about ACORN, and Congress passed fiscal year 2010 laws prohibiting federal funds from being awarded to ACORN and ACORN related organizations. GAO was asked to report on these organizations, including (1) how much federal funding was awarded to them for fiscal years 2005 through 2009 and the purpose of the funding, (2) the extent to which federal agencies' monitoring of these awards detected issues identified by audits, (3) the nature and results of any federal investigations or prosecutions conducted of these organizations from fiscal years 2005 through 2009, and (4) how federal agencies implemented provisions prohibiting the award of funds. Among other things, GAO identified awards to ACORN or potentially related organizations by 31 federal agencies and audits of such awards; documentation of related investigations and cases; and actions to implement funding restrictions by the 27 agencies in our review subject to them."
Date: June 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Lead In Tap Water: CDC Public Health Communications Need Improvement (open access)

Lead In Tap Water: CDC Public Health Communications Need Improvement

A letter report issued by the Government Accountability Office with an abstract that begins "In February 2004, the Centers for Disease Control and Prevention (CDC) was asked to assess the effects of elevated lead levels in tap water on Washington, D.C., residents. In April 2004, CDC published the results. However, an inaccurate statement and incomplete descriptions of the limitations of the analyses resulted in confusion about CDC's intended message. GAO was asked to examine (1) CDC's actions to clarify its published results and communicate current knowledge about the contribution of lead in tap water to elevated blood lead levels (BLL) in children and (2) CDC's changes to its procedures to improve the clarity of the information in its public health communications. GAO reviewed CDC communication policies and procedures and interviewed CDC officials."
Date: March 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Nuclear Weapons: NNSA Needs More Comprehensive Infrastructure and Workforce Data to Improve Enterprise Decision-making (open access)

Nuclear Weapons: NNSA Needs More Comprehensive Infrastructure and Workforce Data to Improve Enterprise Decision-making

A letter report issued by the Government Accountability Office with an abstract that begins "The United States intends to invest about $80 billion to maintain and modernize its nuclear weapons capabilities and infrastructure over the next decade. The National Nuclear Security Administration (NNSA), a semi-autonomous agency within the Department of Energy (DOE), maintains the nation's nuclear weapons through its Stockpile Stewardship Program (SSP). NNSA uses contractors to manage and operate eight separate sites, referred to as the nuclear security enterprise, to achieve the SSP's mission. The National Defense Authorization Act for Fiscal Year 2010 directed GAO to review the SSP. This report focuses on the extent to which NNSA has the data necessary to make informed, enterprisewide decisions, particularly data on the condition of infrastructure, capital improvement projects, shared use of facilities, and critical human capital skills. GAO analyzed agency infrastructure data; reviewed agency directives and guidance; and interviewed DOE, NNSA, and contractor officials."
Date: February 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Maritime Security: Federal Agencies Have Taken Actions to Address Risks Posed by Seafarers, but Efforts Can Be Strengthened (open access)

Maritime Security: Federal Agencies Have Taken Actions to Address Risks Posed by Seafarers, but Efforts Can Be Strengthened

A letter report issued by the Government Accountability Office with an abstract that begins "The State Department and two components of the Department of Homeland Security (DHS), Customs and Border Protection (CBP) and the Coast Guard, are responsible for preventing illegal immigration at U.S. seaports and identifying individuals who are potential security risks. The International Labor Organization (ILO) adopted the Seafarers' Identity Documents Convention (ILO 185) to establish an international framework of seafarer identification documents and reduce their vulnerability to fraud and exploitation. GAO was asked to examine (1) measures federal agencies take to address risks posed by foreign seafarers and the challenges, if any, DHS faces; (2) the challenges, if any, DHS faces in tracking illegal entries by foreign seafarers and how it enforces penalties; and (3) the implementation status of ILO 185. GAO reviewed relevant requirements and agency documents on maritime security, interviewed federal and industry officials, and visited seven seaports based on volume of seafarer arrivals. The visits provided insights, but were not projectable to all seaports."
Date: January 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Medical Devices: FDA Should Enhance Its Oversight of Recalls (open access)

Medical Devices: FDA Should Enhance Its Oversight of Recalls

A letter report issued by the Government Accountability Office with an abstract that begins "Recalls are an important tool to mitigate serious health consequences associated with defective or unsafe medical devices. Typically, a recall is voluntarily initiated by the firm that manufactured the device. The Food and Drug Administration (FDA), an agency within the Department of Health and Human Services (HHS), oversees implementation of the recall. FDA classifies recalls based on health risks of using the recalled device--class I recalls present the highest risk (including death), followed by class II and class III. FDA also determines whether a firm has effectively implemented a recall, and when a recall can be terminated. This report identifies (1) the numbers and characteristics of medical device recalls and FDA's use of this information to aid its oversight, and (2) the extent to which the process ensures the effective implementation and termination of the highest-risk recalls. GAO interviewed FDA officials and examined information on medical device recalls initiated and reported from 2005 through 2009, and reviewed FDA's documentation for a sample of 53 (40 percent) of class I recalls initiated during this period."
Date: June 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Organized Retail Crime: Private Sector and Law Enforcement Collaborate to Deter and Investigate Theft (open access)

Organized Retail Crime: Private Sector and Law Enforcement Collaborate to Deter and Investigate Theft

A letter report issued by the Government Accountability Office with an abstract that begins "Each year organized groups of professional shoplifters steal or fraudulently obtain billions of dollars in merchandise to resell in an activity known as organized retail crime (ORC). These stolen goods can also be sold on online marketplaces, a practice known as "e-fencing." GAO was asked to assess ORC and e-fencing. This report addresses: (1) types of efforts that select retailers, state and local law enforcement, and federal agencies are undertaking to combat ORC; (2) the extent to which tools or mechanisms exist to facilitate collaboration and information sharing among these ORC stakeholders; and (3) steps that select online marketplaces have taken to combat ORC and e-fencing, and additional actions, if any, retailers and law enforcement think may enhance these efforts. GAO reviewed retail-industry documentation, such as reports and surveys, and academic studies related to ORC and efforts to combat it. GAO also interviewed representatives from four major retail associations and five individual retailers, selected for their knowledge of and efforts to combat ORC, as well as eight local law enforcement officials involved in the development of ORC information sharing networks, and Federal Bureau of Investigation (FBI) …
Date: June 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Food Labeling: FDA Needs to Reassess Its Approach to Protecting Consumers from False or Misleading Claims (open access)

Food Labeling: FDA Needs to Reassess Its Approach to Protecting Consumers from False or Misleading Claims

A letter report issued by the Government Accountability Office with an abstract that begins "The Food and Drug Administration (FDA) oversees federal requirements to prohibit false or misleading food labels; the Federal Trade Commission enforces the prohibition against false or misleading advertising. By statute, health claims on food labels must have significant scientific agreement, but in 2002, in response to a court decision, FDA decided to allow qualified health claims with less scientific support. Structure/function claims refer to a food's effect on body structure or function and are also used on food. Congress directed GAO to study FDA's implementation of qualified health claims for food. GAO examined (1) the results of FDA's efforts to allow the use of qualified health claims and oversight of these claims and (2) consumers' understanding of the claims. GAO also examined FDA's oversight of structure/function claims. GAO reviewed FDA documents and consumer studies and interviewed stakeholders from health, medical, industry, and consumer groups."
Date: January 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Seafood Safety: FDA Needs to Improve Oversight of Imported Seafood and Better Leverage Limited Resources (open access)

Seafood Safety: FDA Needs to Improve Oversight of Imported Seafood and Better Leverage Limited Resources

A letter report issued by the Government Accountability Office with an abstract that begins "About half of the seafood imported into the U.S. comes from farmed fish (aquaculture). Fish grown in confined aquacultured areas can have bacterial infections, which may require farmers to use drugs like antibiotics. The residues of some drugs can cause cancer and antibiotic resistance. The Department of Health and Human Services' (HHS) Food and Drug Administration (FDA) is charged with ensuring the safety of seafood against residues from unapproved drugs, and the Department of Commerce's National Marine Fisheries Service (NMFS) provides inspection services on request. In 2009, these agencies signed a memorandum of understanding (MOU) to enhance seafood oversight and leverage inspection resources. GAO was asked to assess the extent to which (1) FDA's program is able to ensure the safety of seafood imports against residues from unapproved drugs and (2) FDA and NMFS have implemented the 2009 MOU. GAO reviewed data and documents from each agency and interviewed agency officials and other key stakeholders."
Date: April 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Defense Acquisitions: Further Action Needed to Better Implement Requirements for Conducting Inventory of Service Contract Activities (open access)

Defense Acquisitions: Further Action Needed to Better Implement Requirements for Conducting Inventory of Service Contract Activities

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) relies on contractors to perform myriad functions, which can offer benefits and flexibility for DOD. GAO's work has shown that reliance on contractors to support core missions, however, can place the government at risk of transferring government responsibilities to contractors. In April 2009, the Secretary of Defense announced his intent to reduce the department's reliance on contractors. In 2008, Congress required DOD to compile and review an annual inventory of the number of contractor employees working under service contracts and the functions and activities they performed. The fiscal year 2010 National Defense Authorization Act directed GAO to report annually on these inventories. GAO assessed (1) the approaches used to compile the fiscal year 2009 inventories and how the approaches have changed, and (2) how the inventories have been reviewed and used to inform workforce decisions. GAO reviewed guidance; compared the approaches used to develop the fiscal year 2008 and 2009 inventories; and interviewed acquisition and manpower officials from DOD, the military departments, and selected defense components."
Date: January 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Veterans' Health Care Budget Estimate: Changes Were Made in Developing the President's Budget Request for Fiscal Years 2012 and 2013 (open access)

Veterans' Health Care Budget Estimate: Changes Were Made in Developing the President's Budget Request for Fiscal Years 2012 and 2013

A letter report issued by the Government Accountability Office with an abstract that begins "The Veterans Health Care Budget Reform and Transparency Act of 2009 requires GAO to report whether the amounts for the Department of Veterans Affairs' (VA) health care services in the President's budget request are consistent with VA's budget estimates as projected by the Enrollee Health Care Projection Model (EHCPM) and other methodologies. Based on the information VA provided, this report describes (1) the key changes VA identified that were made to its budget estimate to develop the President's budget request for fiscal years 2012 and 2013 and (2) how various sources of funding for VA health care and other factors informed the President's budget request for fiscal years 2012 and 2013. GAO reviewed documents describing VA's estimates projected by the EHCPM and changes made to VA's budget estimate that affect all services, including estimates developed using other methodologies. GAO also reviewed the President's budget request, VA's congressional budget justification, and interviewed VA officials and staff from the Office of Management and Budget (OMB)."
Date: June 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Child Support Enforcement: Departures from Long-term Trends in Sources of Collections and Caseloads Reflect Recent Economic Conditions (open access)

Child Support Enforcement: Departures from Long-term Trends in Sources of Collections and Caseloads Reflect Recent Economic Conditions

A letter report issued by the Government Accountability Office with an abstract that begins "In fiscal year 2009, the child support enforcement (CSE) program collected about $26 billion in child support payments from noncustodial parents on behalf of more than 17 million children. The CSE program is run by states and overseen by the Department of Health and Human Services (HHS). States receive federal performance incentive payments and a federal match on both state CSE funds and, except for fiscal year 2008, on the incentive payments, which must be reinvested into the program. The Deficit Reduction Act of 2005 (DRA) eliminated this incentive match beginning in 2008, but the American Recovery and Reinvestment Act of 2009 temporarily reinstated it for 2 years. DRA also gave states the option to give more child support collections to families receiving public assistance--the "family first" policy--rather than using it to reimburse government public assistance costs. GAO examined (1) how CSE collections and caseloads have changed in recent years, (2) how states have responded to federal funding changes, and (3) how states have responded to DRA's "family first" policy options. GAO reviewed laws, HHS policy documents, and CSE caseload, collections, and expenditure data and interviewed …
Date: January 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
VA Enhanced Monthly Benefits: Recipient Population Is Changing, and Awareness Could Be Improved (open access)

VA Enhanced Monthly Benefits: Recipient Population Is Changing, and Awareness Could Be Improved

A letter report issued by the Government Accountability Office with an abstract that begins "According to VA data during fiscal years 2000 to 2010, most enhanced monthly benefit recipients were veterans, over age 65, and receiving the A&A enhancement as part of their pension benefit. The recipient population is changing, however. In particular, the percentage of enhanced monthly benefit recipients age 65 or younger increased from 18 percent to 24 percent over the decade. Also, the percentage of recipients paid benefits under the disability compensation program increased from 15 percent to 26 percent. The cost of enhanced monthly benefits has increased from $124 million in fiscal year 2000 to $409 million in fiscal year 2010; however, VA does not know what portion of these costs was paid specifically for A&A and Housebound benefits. VA maintains data on enhanced monthly benefit recipientsÂ’ total payments but does not separately identify the amount awarded as an A&A or Housebound benefit. VA officials stated that under its current system, separately tracking the costs of these benefits would be complicated and difficult."
Date: December 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Small Business Lending Fund: Additional Actions Needed to Improve Transparency and Accountability (open access)

Small Business Lending Fund: Additional Actions Needed to Improve Transparency and Accountability

A letter report issued by the Government Accountability Office with an abstract that begins "What GAO Found"
Date: December 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Ginnie Mae: Risk Management and Cost Modeling Require Continuing Attention (open access)

Ginnie Mae: Risk Management and Cost Modeling Require Continuing Attention

A letter report issued by the Government Accountability Office with an abstract that begins "The Government National Mortgage Association (Ginnie Mae) has increased its role in the secondary mortgage market significantly. Ginnie Mae is a wholly owned government corporation in the Department of Housing and Urban Development (HUD). It guarantees the timely payment of principal and interest of mortgage-backed securities (MBS) backed by pools of federally insured or guaranteed mortgage loans, such as Federal Housing Administration (FHA) loans. GAO was asked to (1) describe how Ginnie Mae's volume of MBS and market share have changed, (2) assess the risks Ginnie Mae faces and how it manages these risks, and (3) determine what effect recent changes in Ginnie Mae's market share and volume may have on financial exposure to the federal government, including mission. To address these objectives, GAO analyzed data on volume and market share and assessed their reliability. GAO also reviewed guidance and Ginnie Mae's credit subsidy calculations and estimation model, and interviewed agency officials and others."
Date: November 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Nuclear Nonproliferation: Action Needed to Address NNSA's Program Management and Coordination Challenges (open access)

Nuclear Nonproliferation: Action Needed to Address NNSA's Program Management and Coordination Challenges

A letter report issued by the Government Accountability Office with an abstract that begins "What GAO Found:"
Date: December 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Program Evaluation: Experienced Agencies Follow a Similar Model for Prioritizing Research (open access)

Program Evaluation: Experienced Agencies Follow a Similar Model for Prioritizing Research

A letter report issued by the Government Accountability Office with an abstract that begins "Amid efforts to improve performance and constrain spending, federal agencies are being asked to expand the use of rigorous program evaluation in decision-making. In addition to performance data, indepth program evaluation studies are often needed for assessing program impact or designing improvements. Agencies can also use their evaluation resources to provide information needed for effective management and legislative oversight. GAO was asked to study federal agencies with mature evaluation capacity to examine (1) the criteria, policies, and procedures they use to determine programs to review, and (2) the influences on their choices. GAO reviewed agency materials and interviewed officials on evaluation planning in four agencies in three departments with extensive evaluation experience: Education, Health and Human Services (HHS), and Housing and Urban Development (HUD). HHS and HUD agreed with the description of how they plan evaluations. HHS noted that the optimal location of evaluation units will vary with the circumstances and purpose of evaluations. HUD felt the draft report did not emphasize enough the influence of the appropriations process. GAO has added text to note its influence on evaluation planning. Education provided technical comments."
Date: January 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Compacts of Free Association: Improvements Needed to Assess and Address Growing Migration (open access)

Compacts of Free Association: Improvements Needed to Assess and Address Growing Migration

A letter report issued by the Government Accountability Office with an abstract that begins "U.S. compacts with the freely associated states (FAS)--the Federated States of Micronesia (FSM), the Marshall Islands, and Palau--permit FAS citizens to migrate to the United States and its territories (U.S. areas) without regard to visa and labor certification requirements. Thousands of FAS citizens have migrated to U.S. areas (compact migrants)--particularly to the Commonwealth of the Northern Mariana Islands (CNMI), Guam, and Hawaii, which are defined as affected jurisdictions. In fiscal year 2004, Congress appropriated $30 million annually for 20 years to help defray affected jurisdictions' costs for migrant services (compact impact). Though not required, affected jurisdictions can report these costs to the Department of the Interior (Interior), which allocates the $30 million as impact grants in proportion to compact migrant enumerations required every 5 years. This report (1) describes compact migration, (2) reviews enumeration approaches, (3) evaluates impact reporting, and (4) reviews Interior grants related to compact impact. GAO reviewed U.S. agency data, recent enumerations, impact reports, and grants and it also interviewed officials, employers, and migrants in the affected jurisdictions."
Date: November 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Children's Television Act: FCC Could Improve Efforts to Oversee Enforcement and Provide Public Information (open access)

Children's Television Act: FCC Could Improve Efforts to Oversee Enforcement and Provide Public Information

A letter report issued by the Government Accountability Office with an abstract that begins "The Children's Television Act of 1990 (CTA) and related Federal Communications Commission (FCC) rules restrict advertising during children's programs, whether aired by broadcast stations, cable operators, or satellite providers, and encourage broadcasters to air at least 3 hours per week of educational and informational programming for children (known as "core children's programming"). Broadcasters that certify in their license renewal application that they aired the minimum amount of core children's programming are eligible for expedited review. As requested, this report discusses (1) trends in children's programming, (2) FCC efforts to enforce the act, and (3) the extent to which parents value and use core children's programming. GAO analyzed FCC data, interviewed FCC and broadcast station officials, and conducted focus groups with parents."
Date: July 14, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library