A letter report issued by the General Accounting Office with an abstract that begins "In 2002, when major U.S. airlines posted net operating losses of almost $10 billion, they paid over $7 billion to distribute tickets to consumers. Of these total distribution expenses, airlines paid hundreds of millions of dollars in booking fees to global distribution systems--the companies who package airline flight schedule and fare information so that travel agents can query it to "book" (i.e., reserve and purchase) flights for consumers. Each time a consumer purchases an airline ticket through a travel agent, the global distribution system used by the travel agent charges the airline a set booking fee. Concerns have been raised that the global distribution systems may exercise market power over the airlines because most carriers are still largely dependent on each of the global distribution systems for distributing tickets to different travel agents and consumers and therefore must subscribe and pay fees to each. Market power would allow global distribution systems to charge high, noncompetitive fees to airlines, costs that may be passed on to consumers. GAO was asked to examine changes in the airline ticket distribution industry since the late 1990s and the effects on …

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 who did not enroll declined. Many enrollees in Senior Prime said they were better able to get care when they needed it. They also reported better access to doctors in general as well as care at MTFs. Enrollees generally were more satisfied with their care than before the demonstration. However, the demonstration did not improve enrollees' self-reported health status. In addition, compared to nonenrollees, enrollees did not have better health outcomes, as measured by their mortality rates and rates of "preventable" hospitalizations. Moreover, DOD's costs were high, reflecting enrollees' heavy use of hospitals and doctors."

A letter report issued by the General Accounting Office with an abstract that begins "The number of Tuberculosis (TB) and multidrug-resistant TB cases in the United States has declined steadily since 1992. However, continued vigilance is needed to further reduce TB rates. A resurgence of the disease in the late 1980s and early 1990s was linked to a relaxation of TB control efforts. Data from the Centers for Disease Control and Prevention and the World Health Organization suggest that the presence of TB as a major public health problem in other countries has likely been a key contributor to the number of new cases in the United States. As a result, the United States has undertaken several initiatives to control global TB, including providing funding and technical assistance for TB control programs."

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) efforts to reduce the waiting times for outpatient care, focusing on VA's initiatives to: (1) improve its waiting time; and (2) address its waiting time problems."

Testimony issued by the Government Accountability Office with an abstract that begins "The U.S. Department of Agriculture's (USDA) Food Stamp Program is intended to help low-income individuals and families obtain a better diet by supplementing their income with benefits to purchase food. USDA's Food and Nutrition Service (FNS) and the states jointly implement the Food Stamp Program, which is to be reauthorized when it expires in fiscal year 2007. This testimony discusses our past work on two issues related to ensuring integrity of the program: (1) improper payments to food stamp participants, and (2) trafficking in food stamp benefits. This testimony is based on a May 2005 report on payment errors (GAO-05-245) and an October 2006 report on trafficking (GAO-07-53). For the payment error report, GAO analyzed program quality control data and interviewed program stakeholders, including state and local officials. For the trafficking report, GAO interviewed agency officials, visited field offices, conducted case file reviews, and analyzed data from the FNS retailer database."

A chapter report issued by the General Accounting Office with an abstract that begins "This report is in response to a request that we examine the actions and plans agencies reported in addressing the high-risk areas and major management challenges that were previously identified by GAO in its January 2001 Performance and Accountability and High-Risk Series. In fulfilling the request, except as otherwise noted, we reviewed the fiscal year 2001 performance report and fiscal year 2003 performance plan required by the Government Performance and Results Act of 1993 (GPRA) for 23 of the 24 Chief Financial Officers Act (CFO) agencies. The Department of Defense was not included in this review since it had not issued its combined performance report and performance plan."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Department of Defense's (DOD) progress in establishing adequate mechanisms for coordinating cruise missile defense programs, focusing on the: (1) organizational structure and mechanisms for coordinating cruise missile defense efforts; (2) potential measures of the progress of coordination efforts; (3) progress of coordination using these measures; (4) challenges that DOD officials believe still must be overcome; and (5) defense against land attack cruise missiles."

Testimony issued by the Government Accountability Office with an abstract that begins "This testimony summarizes a December 2006 GAO report on the Department of Homeland Security's (DHS) efforts to implement the U.S. Visitor and Immigrant Status Indicator Technology (US-VISIT) program at land ports of entry (POE). US-VISIT is designed to collect, maintain, and share data on selected foreign nationals entering and exiting the United States at air, sea, and land POEs. These data, including biometric identifiers like digital fingerprints, are to be used to screen persons against watch lists, verify identities, and record arrival and departure. This testimony addresses DHS's efforts to (1) implement US-VISIT entry capability, (2) implement US-VISIT exit capability, and (3) define how US-VISIT fits with other emerging border security initiatives. GAO analyzed DHS and US-VISIT documents, interviewed program officials, and visited 21 land POEs with varied traffic levels on both borders."

Testimony issued by the Government Accountability Office with an abstract that begins "A significantly greater proportion of African American children are in foster care than children of other races and ethnicities relative to their share of the general population. Given this situation, GAO was asked to analyze the (1) major factors influencing their proportion in foster care, (2) strategies states and localities have implemented that appear promising, and (3) ways in which federal policies may have influenced the proportion of African American children in foster care. This testimony is based on a GAO report issued in July 2007 (GAO-07-816), which included a nationwide survey; a review of research and policies; state site visits; analyses of child welfare data; and interviews with researchers, HHS officials, and other experts. It includes updates where possible."

A letter report issued by the General Accounting Office with an abstract that begins "The Advanced SEAL Delivery System (ASDS) is a mini-submarine that is one of the U.S. Special Operations Command's largest investments. The program is approaching the end of a difficult development and must undergo key testing before decisions are made to proceed beyond the first boat. Over the past several years, the Congress has raised concerns about technical difficulties, schedule delays, cost growth, and management oversight. The Senate Armed Services Committee requested that GAO review the status and problems facing the program. Specifically, this report examines the ASDS program's (1) progress towards meeting requirements and technical challenges, (2) ability to meet schedule and cost projections, and (3) underlying factors contributing to program problems."

A letter report issued by the General Accounting Office with an abstract that begins "Although the National Highway Traffic Safety Administration (NHTSA) has the authority to regulate aftermarket crash parts, the agency has not developed safety standards for them because it has not determined that any aftermarket crash parts contain safety-related defects. NHTSA has more limited authority to regulate the use of recycled air bags. NHTSA could elect to develop safety standards for occupant restraint systems under the used vehicle provision of the Motor Vehicle Safety Act. NHTSA has not developed such standards because it has not identified significant problems with occupant restraint systems that could be addressed by state motor vehicle inspection programs. The limitations of NHTSA's complaint system may hamper NHTSA's ability to detect safety-related trends through broad key-word searches of its complaint database and make it unlikely that NHTSA can identify all unsafe parts. In addition, the ability to recall unsafe aftermarket crash parts is limited because some parts are not stamped with the manufacturer's name and there is no trail leading from the manufacturer to the ultimate user of the part. Two studies on the safety of recycled airbags concluded that they can be a potentially …

A letter report issued by the General Accounting Office with an abstract that begins "The relationship between the Department of Education and state-designated guaranty agencies that run the largest federal student loan program is changing in order to achieve program and cost efficiencies and improve delivery of student financial aid. These state or private not-for-profit agencies guarantee payment if students fail to repay loans obtained through the Federal Family Education Loan programs. The 1998 Amendments to the Higher Education Act authorize the Secretary of Education to enter into "voluntary flexible agreements" (VFA) with individual guaranty agencies. These agreements allow a guaranty agency to waive or modify some of the federal requirements that apply to other guaranty agencies. GAO found that the process for developing the agreements did not fully meet the needs of the guaranty agencies and other program participants. The process frustrated guaranty agency officials GAO talked to, especially those who ultimately chose not to apply for a VFA and those who were not granted a VFA. Agency officials said that Education's communication about the VFA development process was poor and that Education was unable to meet its own timetable. The VFAs generally complied with most of the legislative …

A letter report issued by the General Accounting Office with an abstract that begins "Franchises are business arrangements that require payment for the opportunity to sell trademarked goods and services. Business opportunity ventures do not involve a trademark, but require payment for the opportunity to distribute goods or services with assistance in the form of locations or accounts. The Federal Trade Commission's (FTC) Trade Regulation Rule on Franchising and Business Opportunity Ventures (Franchise Rule) requires franchise and business opportunity sellers to disclose financial and other information to prospective purchasers before they pay any money or sign an agreement. In addition, FTC enforces section 5 of the FTC Act, which addresses unfair or deceptive acts or practices. Over the past several years, Congress has debated the need for a federal statute to generally regulate franchises, including issues that arise between franchisors and franchisees after the franchise agreement is signed. Much of the debate centers on the relative bargaining power franchisees have when dealing with their franchisors over various issues, such as the location of new franchised outlets or the termination of franchise relationships without good cause and advance, written notice. This report reviews FTC's enforcement of its Franchise Rule and discusses …

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the National Railroad Passenger Corporation's (Amtrak) costs and capital investment needs, focusing on: (1) changes since 1995 in Amtrak's operating costs, including labor costs, payments to freight railroads to access their track and keep Amtrak trains on time, interest on commercial debt, the projected changes over the next five years, and Amtrak's plans to address these costs; (2) Amtrak's short- and long-term capital investment requirements, including investments to address "state of good repair" issues and investments in its progressive overhaul program and Northeast Corridor high-speed rail program; and (3) the availability of federal and nonfederal funds for Amtrak's capital investments."

A letter report issued by the General Accounting Office with an abstract that begins "GAO reviewed the funding of 2000 Census planning and development efforts and the impact it had on census operations. Total funding for the 2000 Census, referred to as the life cycle cost, covers a 13-year period from fiscal year 1991 through fiscal year 2003 and is expected to total $6.5 billion adjusted to 2000 year dollars. This amount was almost double the reported life cycle cost of the 1990 Census of $3.3 billion adjusted to 2000 year dollars. Considering these escalating costs, the experience of the U.S. Census Bureau in preparing for the 2000 Census offers valuable insights for the planning and development efforts now occurring for the 2010 Census. Thorough and comprehensive planning and development efforts are crucial to the ultimate efficiency and success of any large, long-term project, particularly one with the scope, magnitude, and the deadlines of the U.S. decennial census. For fiscal years 1991 through 1997, $269 million was requested in the President's Budgets for 2000 Census planning and development and the program received funding of $224 million by Congress, or 83 percent of the amount requested. According to U.S. Census Bureau …

Testimony issued by the Government Accountability Office with an abstract that begins "Voting is fundamental to our democratic system, and federal law generally requires polling places for federal elections to be accessible to older voters and voters with physical disabilities. Following reports of problems encountered in the close 2000 presidential election with respect to voter registration lists, absentee ballots, ballot counting, and antiquated voting systems, the Help America Vote Act of 2002 (HAVA) was enacted. Among other provisions, HAVA includes requirements for the accessibility of voting systems, effective January 1, 2006. In the past, GAO has published several reports on issues related to voting access for older voters. Our prior work, including on-site inspections of a national sample of polling places in election year 2000, a comprehensive review of the election system in 2004, and a review of transportation issues facing seniors, has identified a number of potential barriers to voting for older Americans, as well as accommodations and progress in a number of areas. Drawing from prior work, GAO's testimony will focus on (1) a variety of factors that affect the ability of older voters to travel to polling places, cast their votes in the voting room, or avail …

Testimony issued by the Government Accountability Office with an abstract that begins "In June 2007, GAO received information from a whistleblower through GAO's FraudNET hotline alleging millions of dollars in lost and stolen property and gross mismanagement of property at Indian Health Service (IHS), an operating division of the Department of Health and Human Services (HHS). GAO was asked to conduct a forensic audit and related investigations to (1) determine whether GAO could substantiate the allegation of lost and stolen property at IHS and identify examples of wasteful purchases and (2) identify the key causes of any loss, theft, or waste. GAO analyzed IHS property records from fiscal years 2004 to 2007, conducted a full physical inventory at IHS headquarters, and statistically tested inventory of information technology (IT) equipment at seven IHS field locations in 2007 and 2008. GAO also examined IHS policies, conducted interviews with IHS officials, and assessed the security of property."

A letter report issued by the General Accounting Office with an abstract that begins "China's December 2001 membership in the World Trade Organization created substantial opportunities for U.S. companies seeking to expand into China's vast market, and for significant reforms within China at all levels of government. However, the benefits of China's membership in the World Trade Organization are contingent on China's successful implementation of its commitments. In recognizing this fact, Congress has provided increased resources to executive branch agencies to enhance the government's ability to effectively monitor and enforce China's compliance. In this study, one of several that GAO will conduct for Congress on China-World Trade Organization issues, GAO was asked to (1) examine key agencies' organizational changes and the interagency process used to carry out compliance responsibilities and (2) review how the agencies have addressed compliance issues that arose during the first year of China's membership, by using two specific examples; the examples illustrate the type of compliance issues U.S. officials face but are not representative of China's compliance record overall. The U.S. Trade Representative and other agency officials provided technical and editorial comments mainly on our characterization of issues relating to tariff-rate quotas and the multilateral review …

A letter report issued by the General Accounting Office with an abstract that begins "The changing security environment and the increasing globalization of the U.S. economy have significantly increased the need for federal employees with foreign language skills. GAO reviewed in detail the operations of the following four agencies: the Army, the State Department, the Department of Commerce's Foreign Commercial Service (FCS), and the Federal Bureau of Investigation (FBI). These four agencies reported shortages of translators and interpreters as well as diplomats and intelligence specialists with critical foreign language skills. Agency officials said that these shortfalls have harmed agency operations and hindered U.S. military, law enforcement, intelligence, counterterrorism, and diplomatic efforts. The four agencies use various workforce strategies to meet their foreign language needs, including staff development, such as language training and pay incentives; employee recruitment; contractors; or information technology, such as networked computers and databases. One of the four agencies is trying to resolve its foreign language shortages by focusing on human capital management and workforce planning, as suggested by GAO. The FBI has begun an action plan that links its foreign language program to the Bureau's strategic objectives and program goals. However, the Army, the State Department, and …

A letter report issued by the General Accounting Office with an abstract that begins "Congress established the Superfund program in 1980 to clean up highly contaminated hazardous waste sites. Among other things, the law established a trust fund to help the Environmental Protection Agency (EPA) pay for cleanups and related program activities. The trust fund was financed primarily by three dedicated taxes until 1995, when the taxing authority expired. EPA continues to discover sites eligible for cleanup under the Superfund program. GAO was asked to examine the current status of the Superfund program, the factors guiding EPA's selection of sites to be placed on its National Priorities List, and the program's future outlook."

A letter report issued by the General Accounting Office with an abstract that begins "GAO reviewed the Customs Service's management of and practices for collecting civil fines and penalties (CFP) debt. GAO found that Customs' gross CFP debt more than tripled from the start of fiscal year 1997 to the end of fiscal year 2000, rising from $218.1 million as of October 1, 1996, to $773.6 million as of September 20, 2000. During the same period, Customs annually reserved from 75 to 87 percent of its reported CFP receivables in an allowance for uncollectible accounts. The primary reason for the growth in Customs' reported uncollected CFP debt from fiscal year 1997 through fiscal year 2000 was the bankruptcy of a Customs broker in fiscal year 2000. The broker's bankruptcy resulted in Customs assessing 422 claims for $566 million and recording CFP receivables totaling $484 million during fiscal years 1999 and 2000. The remaining $82 million of assessed amounts was eliminated through the CFP mitigation process, and accordingly these amounts were not recorded as receivables. Customs can strengthen some of its CFP debt collection policies and procedures both by enhancing them and better adhering to them. The Office of Management and …