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Bahrain: Reform, Security, and U.S. Policy (open access)

Bahrain: Reform, Security, and U.S. Policy

This report discusses the current state of Bahrain, which has undergone substantial political reforms since the late 1990s, but which still suffers from tension between the Shiite majority and the Sunni-led government. It focuses particularly on Bahrain's relationship with Iran and with the United States.
Date: April 1, 2013
Creator: Katzman, Kenneth
System: The UNT Digital Library
Nigeria: Current Issues and U.S. Policy (open access)

Nigeria: Current Issues and U.S. Policy

This report covers the recent economical and political development in Nigeria; elections, development challenges, reform initiatives, social issues, security concerns, and international relations in Nigeria. The report ends with some concerns for Congress, including U.S.-Nigerian trade issues, Nigerian counter-terrorism efforts, and U.S. assistance to Nigeria.
Date: April 24, 2013
Creator: Ploch, Lauren
System: The UNT Digital Library
Critical Infrastructure Protection: DHS Efforts to Assess Chemical Security Risk and Gather Feedback on Facility Outreach Can Be Strengthened (open access)

Critical Infrastructure Protection: DHS Efforts to Assess Chemical Security Risk and Gather Feedback on Facility Outreach Can Be Strengthened

A letter report issued by the Government Accountability Office with an abstract that begins "Since 2007, the Department of Homeland Security's (DHS) Infrastructure Security Compliance Division (ISCD) has assigned about 3,500 high-risk chemical facilities to risk-based tiers under its Chemical Facility Anti-Terrorism Standards (CFATS) program, but it has not fully assessed its approach for doing so. The approach ISCD used to assess risk and make decisions to place facilities in final tiers does not consider all of the elements of consequence, threat, and vulnerability associated with a terrorist attack involving certain chemicals. For example, the risk assessment approach is based primarily on consequences arising from human casualties, but does not consider economic consequences, as called for by the National Infrastructure Protection Plan (NIPP) and the CFATS regulation, nor does it consider vulnerability, consistent with the NIPP. ISCD has begun to take some actions to examine how its risk assessment approach can be enhanced, including commissioning a panel of experts to assess the current approach, identify strengths and weaknesses, and recommend improvements. ISCD will need to incorporate the various results of these efforts to help them ensure that the revised risk assessment approach includes all elements of risk. After ISCD has …
Date: April 5, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Securities And Exchange Commission: Continued Management Attention Would Strengthen Internal Supervisory Controls (open access)

Securities And Exchange Commission: Continued Management Attention Would Strengthen Internal Supervisory Controls

A letter report issued by the Government Accountability Office with an abstract that begins "After the passage of the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act) in 2010, the Securities and Exchange Commission's (SEC) Office of Compliance Inspections and Examinations, Division of Corporation Finance, and Division of Enforcement (herein "the offices") established a working group that developed an internal supervisory control framework. Internal supervisory controls include the processes established by management to help ensure that procedures applicable to staff are performed completely, consistent with applicable policies and procedures, and remain current. The overall control framework is generally consistent with federal internal control standards, which includes identifying and assessing risks, identifying and assessing internal controls, and reporting the results of testing to management and Congress."
Date: April 18, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Defense Health Care: TRICARE Multiyear Surveys Indicate Problems with Access to Care for Nonenrolled Beneficiaries (open access)

Defense Health Care: TRICARE Multiyear Surveys Indicate Problems with Access to Care for Nonenrolled Beneficiaries

A letter report issued by the Government Accountability Office with an abstract that begins "In its analysis of the 2008-2011 beneficiary survey data, GAO found that nearly one in three nonenrolled beneficiaries experienced problems finding a civilian provider who would accept TRICARE and that nonenrolled beneficiaries' access to civilian primary care and specialty care providers differed by type of location. Specifically, a higher percentage of nonenrolled beneficiaries in Prime Service Areas (PSA), which are areas with civilian provider networks, experienced problems finding a civilian primary care or specialty care provider compared to those in non-Prime Service Areas (non-PSA), which do not have civilian provider networks. GAO found that the top reasons reported by nonenrolled beneficiaries for why they experienced access problems--regardless of type of provider--were that the providers were either not accepting TRICARE payments or new TRICARE patients. Additionally, GAO's comparison of the Department of Defense's (DOD) beneficiary survey data to related data from a Department of Health and Human Services survey showed that nonenrolled beneficiaries' satisfaction ratings for primary and specialty care providers were consistently lower than those of Medicare fee-for-service beneficiaries."
Date: April 2, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Tax Expenditures: IRS Data Available for Evaluations Are Limited (open access)

Tax Expenditures: IRS Data Available for Evaluations Are Limited

A letter report issued by the Government Accountability Office with an abstract that begins "Internal Revenue Service (IRS) data are not sufficient for identifying who claims a tax expenditure and how much they claim for $492 billion or almost half the dollar value of all tax expenditures that GAO examined. Such basic data are not available at IRS for tax expenditures because they do not have their own line item on a tax form. This included $102 billion of tax expenditures that were not on tax forms, such as the exclusion of interest on life insurance savings, and $390 billion of tax expenditures that were on tax forms but did not have their own line items, such as the credit for holding clean renewable energy bonds which is aggregated with other credits on a single line item."
Date: April 30, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Automated Teller Machines: Some Consumer Fees Have Increased (open access)

Automated Teller Machines: Some Consumer Fees Have Increased

A letter report issued by the Government Accountability Office with an abstract that begins "Automated teller machine (ATM) operators include financial institutions--banks and credit unions--as well as independent firms. Industry representatives GAO spoke with estimate there are approximately 420,000 ATMs in the United States. They estimate that financial institutions operate and set the fees for about half of the market, and independent operators work together with merchants to operate the remainder and to determine the fees incurred by consumers. ATM operators have differing business models that affect the way they set ATM fees for consumers. Financial institutions operate ATMs as a convenience to their own account holders, who generally do not pay fees to use these ATMs, while non-account-holding customers do. At independent ATMs, most consumers incur a surcharge fee, although there are some exceptions, such as when the ATM is part of a surcharge-free ATM network."
Date: April 11, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Federal Employees' Compensation Act: Case Examples Illustrate Vulnerabilities That Could Result in Improper Payments or Overlapping Benefits (open access)

Federal Employees' Compensation Act: Case Examples Illustrate Vulnerabilities That Could Result in Improper Payments or Overlapping Benefits

A letter report issued by the Government Accountability Office with an abstract that begins "GAO found examples of improper payments and indicators of potential fraud in the Federal Employees' Compensation Act (FECA) program, which could be attributed, in part, to oversight and data-access issues. GAO found examples of claimants' receiving overlapping FECA and unemployment insurance (UI) benefits, which may be allowable under certain circumstances, but could also be erroneous. GAO also found that FECA program requirements allow claimants to receive earnings, and earnings increases, without necessarily resulting in adjustment of FECA compensation. For example, of the 32 FECA case files reviewed, GAO found five instances where an individual's wage-earning capacity (WEC), which is used to determine FECA benefits, was not adjusted even though the individual earned substantially more than the wage that was originally used to calculate the WEC. In addition, two FECA claimants continued to receive privateemployment salaries that were not subject to their WEC calculation. This is because, as currently written, program procedures allow claimants to receive increases in earnings, in certain circumstances, without adjustments to FECA compensation, and current law allows for claimants' earnings from dissimilar concurrent private employment at the time of injury to be exempt …
Date: April 3, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
NASA: Assessments of Selected Large-Scale Projects (open access)

NASA: Assessments of Selected Large-Scale Projects

A letter report issued by the Government Accountability Office with an abstract that begins "The performance of the National Aeronautics and Space AdministrationÂ’s (NASA) portfolio of major projects has improved in the areas of cost and schedule growth since GAOÂ’s first assessment in 2009. Average development cost growth and schedule delay for the current portfolio have decreased to about a third of their 2009 levels."
Date: April 17, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Grants Management: Oversight of Selected States' Disbursement of Federal Funds Addresses Timeliness and Administrative Allowances (open access)

Grants Management: Oversight of Selected States' Disbursement of Federal Funds Addresses Timeliness and Administrative Allowances

A letter report issued by the Government Accountability Office with an abstract that begins "As pass-through grant funds flow to subrecipients, they are subject to government-wide and program-specific policies, two of which are particularly relevant to disbursement issues for states as they pass funds on to subrecipients. Pass-through grants are typically first awarded to states, local governments, or other entities and then further awarded to subrecipients. The Cash Management Improvement Act governs the exchange of funds between the federal government and the states and is applicable to timeliness in the grant disbursement process. In addition, the Office of Management and Budget's (OMB) Circular No. A-133, Audits of States, Local Governments, and Non-Profit Organizations, provides general guidance on the roles and responsibilities of the federal awarding agencies and primary recipients of government funds regarding audit requirements of grantees. Specific program policies can provide additional requirements for individual grant programs related to disbursement of funds. For example, as with the programs we reviewed, authorizing legislation may contain statutory limits on the amount of funds that states and local governments can withhold from the grant awards for their own administrative expenses. To ensure states comply with federal requirements and agency regulations for disbursing …
Date: April 16, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Patient Protection and Affordable Care Act: Enrollment and Spending in the Early Retiree Reinsurance and Pre-existing Condition Insurance Plan Programs (open access)

Patient Protection and Affordable Care Act: Enrollment and Spending in the Early Retiree Reinsurance and Pre-existing Condition Insurance Plan Programs

A letter report issued by the Government Accountability Office with an abstract that begins "The Center for Consumer Information and Insurance Oversight (CCIIO) discontinued enrollment in the Early Retiree Reinsurance Program (ERRP) in early 2011 and stopped most program reimbursements the following year to keep spending within the $5 billion ERRP appropriation. Specifically, anticipating exhaustion of funds, CCIIO stopped ERRP enrollment in May 2011. According to CCIIO officials, CCIIO suspended making reimbursements to plan sponsors in September 2012, as reimbursements had reached the $4.7 billion cap established for paying claims under the original appropriation, and the remainder was reserved for administrative expenses. When the cap was reached, significant demand for the program remained with 5,699 ERRP reimbursement requests left outstanding that accounted for about $2.5 billion in unpaid claims. CCIIO officials told GAO that they planned to pay some of the outstanding reimbursement requests by redistributing any overpayments recovered from plan sponsors--when, for example a plan receives a rebate that lowers the total cost of a prior claim--as well as money recovered from program audits. As of January 2013, officials told GAO that CCIIO had recovered a total of $54 million and redistributed $20.7 million of this amount."
Date: April 30, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Missile Defense: Opportunity to Refocus on Strengthening Acquisition Management (open access)

Missile Defense: Opportunity to Refocus on Strengthening Acquisition Management

A letter report issued by the Government Accountability Office with an abstract that begins ""
Date: April 26, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Medicare: Legislative Modifications Have Resulted in Payment Adjustments for Most Hospitals (open access)

Medicare: Legislative Modifications Have Resulted in Payment Adjustments for Most Hospitals

A letter report issued by the Government Accountability Office with an abstract that begins "Over time, Congress has modified how Medicare reimburses certain hospitals under the inpatient prospective payment system (IPPS), which pays hospitals a flat fee per stay, set in advance, with different amounts for each type of condition. GAO identified numerous statutory provisions that individually increased Medicare payments to a subset of hospitals."
Date: April 17, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
VA and IHS: Further Action Needed to Collaborate on Providing Health Care to Native American Veterans (open access)

VA and IHS: Further Action Needed to Collaborate on Providing Health Care to Native American Veterans

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Veterans Affairs (VA) and the Indian Health Service (IHS) have developed mechanisms to implement and monitor their memorandum of understanding (MOU); however, the performance metrics developed to assess its implementation do not adequately measure progress made toward its goals. VA and IHS have defined common goals for implementing the MOU and developed strategies to achieve them. They have also created two mechanisms to implement the MOU--12 workgroups with members from both agencies to address the goals of the MOU, and a Joint Implementation Task Force, comprised of VA and IHS officials, to oversee the MOU's implementation. These steps are consistent with practices that GAO has found enhance and sustain agency collaboration. The agencies have also developed three metrics aimed at measuring progress toward the MOU's goals. However, two of the three metrics are inadequate because their connection to any specific MOU goal is not clear and, while they include quantitative measures that tally the number of programs and activities increased or enhanced as a result of the MOU, they lack qualitative measures that would allow the agencies to assess the degree to which …
Date: April 26, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
National Preparedness: Efforts to Address the Medical Needs of Children in a Chemical, Biological, Radiological, or Nuclear Incident (open access)

National Preparedness: Efforts to Address the Medical Needs of Children in a Chemical, Biological, Radiological, or Nuclear Incident

A letter report issued by the Government Accountability Office with an abstract that begins "According to the Department of Health and Human Services (HHS), about 60 percent of the chemical, biological, radiological, and nuclear (CBRN) medical countermeasures in the Strategic National Stockpile (SNS) have been approved for children, but in many instances approval is limited to specific age groups. In addition, about 40 percent of the CBRN countermeasures have not been approved for any pediatric use. Furthermore, some of the countermeasures have not been approved to treat individuals for the specific indications for which they have been stockpiled. For example, ciprofloxacin is stockpiled in the SNS for the treatment of anthrax, plague, and tularemia, but is not approved for these indications. Countermeasures may be used to treat unapproved age groups or indications under an emergency use authorization (EUA) or an Investigational New Drug (IND) application submitted to the Food and Drug Administration (FDA)."
Date: April 30, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
President's Emergency Plan For AIDS Relief: Drug Supply Chains Are Stronger, but More Steps Are Needed to Reduce Risks (open access)

President's Emergency Plan For AIDS Relief: Drug Supply Chains Are Stronger, but More Steps Are Needed to Reduce Risks

A letter report issued by the Government Accountability Office with an abstract that begins "The President's Emergency Plan for AIDS Relief (PEPFAR) has worked with U.S. implementing agencies, international donors, and partner countries to increase the efficiency and reliability of antiretroviral (ARV) drug supply chains. It has done so by improving drug supply planning and procurement as well as incountry distribution of drugs. First, PEPFAR has consolidated supply chains for ARV drug procurement for more than 20 partner countries to enhance efficiency and reduce costs and has begun further consolidation with other U.S. global health programs. Second, PEPFAR has improved coordination among donors by creating an information-sharing network to help detect and resolve supply gaps and other supply chain weaknesses and by developing an emergency drug procurement mechanism. Third, PEPFAR has provided partner countries with technical assistance, such as assessment tools and training, to help them better manage drug supply planning, procurement, and distribution."
Date: April 26, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Political Intelligence: Financial Market Value of Government Information Hinges on Materiality and Timing (open access)

Political Intelligence: Financial Market Value of Government Information Hinges on Materiality and Timing

A letter report issued by the Government Accountability Office with an abstract that begins "The Stop Trading on Congressional Knowledge (STOCK) Act of 2012 specifically defines political intelligence as information that is "derived by a person from direct communications with an executive branch employee, a Member of Congress, or an employee of Congress; and provided in exchange for financial compensation to a client who intends, and who is known to intend, to use the information to inform investment decisions." While no other laws or ethics rules specifically govern political intelligence activities, securities laws and executive and legislative branch ethics rules and guidance do provide guidelines for government officials to protect material nonpublic information (e.g., information that has not been disseminated to the general public or is not authorized to be made public). For example, insider trading laws apply to both the executive and legislative branches and prohibit the disclosure of material nonpublic information derived from employees' official positions for personal benefit."
Date: April 4, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Information Technology: Consistently Applying Best Practices Could Help IRS Improve the Reliability of Reported Cost and Schedule Information (open access)

Information Technology: Consistently Applying Best Practices Could Help IRS Improve the Reliability of Reported Cost and Schedule Information

A letter report issued by the Government Accountability Office with an abstract that begins "According to the Internal Revenue Service (IRS), 12 of its 20 major information technology (IT) investments were within 10 percent of cost and schedule estimates or significantly below cost between October 2011 and October 2012. For the remaining 8 investments, 3 were reported as being significantly over cost and 5 were reported as being significantly behind schedule. Reported reasons for these significant variances include unplanned work activities, procurement delays, and additional costs associated with terminating an investment that was being replaced."
Date: April 17, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Federal Courthouses: Recommended Construction Projects Should Be Evaluated under New Capital- Planning Process (open access)

Federal Courthouses: Recommended Construction Projects Should Be Evaluated under New Capital- Planning Process

A letter report issued by the Government Accountability Office with an abstract that begins "The Asset Management Planning (AMP) process represents progress by the federal judiciary (judiciary) in better aligning its capital-planning process with leading capitalplanning practices, but its 5-year plan for fiscal years 2014 to 2018--the document the judiciary uses to request courthouse construction projects--lacks transparency and key information on how projects qualify for new construction, alternatives the judiciary considered, and their cost. For example, the plan lists costs for the next phase of the 12 recommended courthouse projects, which have several phases, but does not list previous funding or ongoing annual costs for the projects. As a result, the plan lists about $1 billion in costs for the 12 projects, but the projects would actually cost the federal government an estimated $3.2 billion over the next 20 years. Congress has appropriated a small share of the money needed for the projects, and most will need design changes before construction can begin. As a result, there is a risk that congressional funding decisions could be made without complete and accurate information. However, with this information, decision makers could weigh current-year budget decisions within the context of projects' expected future …
Date: April 11, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Emergency Alerting: Capabilities Have Improved, but Additional Guidance and Testing Are Needed (open access)

Emergency Alerting: Capabilities Have Improved, but Additional Guidance and Testing Are Needed

A letter report issued by the Government Accountability Office with an abstract that begins ""
Date: April 24, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Defense Infrastructure: Improved Guidance Needed for Estimating Alternatively Financed Project Liabilities (open access)

Defense Infrastructure: Improved Guidance Needed for Estimating Alternatively Financed Project Liabilities

A letter report issued by the Government Accountability Office with an abstract that begins "In the event of future base closure, the Department of Defense's (DOD) potential financial liabilities from alternatively financed projects will vary by project type and the language of its legal agreements. According to GAO's analysis of data reported by DOD, it had more than 550 such projects on more than 240 U.S. installations, as of September 30, 2011. 56 percent of these projects have been put in place since the 2005 Base Realignment and Closure (BRAC) round. Further, according to this analysis and GAO's case study review, liabilities will likely exist for renewable energy and privatized utility projects in the event of base closure because these projects commit the government to making future payments, although the liabilities may be limited by termination for convenience clauses in agreements. In contrast, privatized housing, privatized army lodging, and enhanced use lease projects are generally not expected to create a financial liability if bases close because DOD does not expect to terminate these types of agreements."
Date: April 18, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Prescription Drugs: Comparison of DOD and VA Direct Purchase Prices (open access)

Prescription Drugs: Comparison of DOD and VA Direct Purchase Prices

A letter report issued by the Government Accountability Office with an abstract that begins "When GAO compared prices paid by the Department of Defense (DOD) and the Department of Veterans Affairs (VA) for a sample of 83 drugs purchased in the first calendar quarter of 2012, DOD's average unit price for the entire sample was 31.8 percent ($0.11 per unit) higher than VA's average price, and DOD's average unit price for the subset of 40 generic drugs was 66.6 percent ($0.04 per unit) higher than VA's average price. However, VA's average unit price for the subset of 43 brand-name drugs was 136.9 percent ($1.01 per unit) higher than DOD's average price. These results were consistent with each agency obtaining better prices on the type of drugs that made up the majority of its utilization: generic drugs accounted for 83 percent of VA's utilization of the sample drugs and brand-name drugs accounted for 54 percent of DOD's utilization of the sample drugs. DOD officials told GAO that in certain circumstances they are able to obtain competitive prices for brand-name drugs--even below the prices for generic equivalents--and therefore will often preferentially purchase brand-name drugs."
Date: April 19, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Climate Change: Future Federal Adaptation Efforts Could Better Support Local Infrastructure Decision Makers (open access)

Climate Change: Future Federal Adaptation Efforts Could Better Support Local Infrastructure Decision Makers

A letter report issued by the Government Accountability Office with an abstract that begins "According to the National Research Council (NRC) and others, infrastructure such as roads and bridges, wastewater systems, and National Aeronautics and Space Administration (NASA) centers are vulnerable to changes in the climate. Changes in precipitation and sea levels, as well as increased intensity and frequency of extreme events, are projected by NRC and others to impact infrastructure in a variety of ways. When the climate changes, infrastructure-- typically designed to operate within past climate conditions--may not operate as well or for as long as planned, leading to economic, environmental, and social impacts. For example, the National Oceanic and Atmospheric Administration estimates that, within 15 years, segments of Louisiana State Highway 1-- providing the only road access to a port servicing 18 percent of the nation's oil supply--will be inundated by tides an average of 30 times annually due to relative sea level rise. Flooding of this road effectively closes the port."
Date: April 12, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Air Force Electronic Systems Center: Reorganization Resulted in Workforce Reassignments at Hanscom Air Force Base, but Other Possible Effects Are Not Yet Known (open access)

Air Force Electronic Systems Center: Reorganization Resulted in Workforce Reassignments at Hanscom Air Force Base, but Other Possible Effects Are Not Yet Known

A letter report issued by the Government Accountability Office with an abstract that begins "The reorganization of the Air Force Materiel Command (AFMC) affected reporting chains of command and workforce composition for some offices at Hanscom Air Force Base, but did not change how former components of the Electronic Systems Center (ESC) at Hanscom carry out their acquisition mission. Personnel in functional offices who provide technical services previously reported to the locally-based ESC leadership; they now report directly to senior functional managers at Wright-Patterson Air Force Base, who oversee functional offices across all locations of the new Air Force Life Cycle Management Center (AFLCMC) established by the reorganization. In addition, the reorganization eliminated 131 functional office positions (about 10 percent of Hanscom's civilian positions), which AFMC determined were not directly involved with development, delivery, or sustainment of weapon systems. GAO's analysis of Hanscom's data showed that the eliminated positions included 13 which were unfilled; of personnel in the remaining 118 positions, 15 accepted voluntary-separation agreements, 102 were reassigned at Hanscom Air Force Base, and 1 was removed. The reorganization did not change the mission of directorates that deliver electronic capabilities to customers."
Date: April 25, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library