Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO analyzed materials from the American Health Care Association (AHCA) to determine whether any cases reflected the actions of an overly aggressive regulatory process."

A letter report issued by the Government Accountability Office with an abstract that begins "This report presents the findings of our study of the Department of Labor's Occupational Safety and Health Administration's (OSHA) determination of civil penalties and abatement of violations. The objective of the study was to assess the extent of OSHA's oversight of the civil penalty determination and the violation abatement processes. In addition, we developed a statistical model, known as a multivariate analysis, to better understand factors that influenced variation in penalty amounts. On July 7, 2004, we briefed Labor officials on the results of our study. This letter report formally conveys the information we presented at that briefing. To assess the extent of OSHA's oversight of the civil penalty determination and violation abatement processes, we (1) reviewed 2002 and 2003 regional audits from the five regions with the most inspections, (2) visited one of these regional offices and one area office within this region to interview officials and review documents and procedures, (3) conducted telephone interviews with the four remaining regional offices and one area office within each of those regions, (4) interviewed OSHA officials to identify relevant policies and procedures, and (5) reviewed relevant policies …

Correspondence issued by the General Accounting Office with an abstract that begins "GAO tested certain internal controls over federal disbursements processed by the Department of the Treasury's Financial Management Service (FMS) in fiscal year 2000. With some exceptions, FMS makes disbursements for all federal agencies through its Regional Financial Centers and Debt Management Operations Center. For fiscal year 2000, FMS reported processing approximately 890 million disbursements totaling more than $1.2 trillion. The centers disburse funds by check, electronic funds transfer (EFT), or Fedwire. FMS reported that these disbursements for fiscal year 2000 included approximately 265 million checks amounting to more than $265 billion, approximately 625 million EFTs amounting to more than $720 billion, and approximately 47,000 Fedwires amounting to more than $275 billion. The centers also process Automated Standard Application for Payments (ASAP) system enrollments. FMS reported the federal agencies authorized payments of over $254 billion in fiscal year 2000 using the ASAP system. This report reviews the results of GAO's (1) follow-up work on previously recommended improvements and corrective actions taken to address such recommendations and (2) fiscal year 2000 testing and related recommendations for improving controls over safeguarding assets and processing and documenting delegation and designation of agency …

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the Food and Drug Administration's (FDA) implementation of the mutual recognition agreement (MRA) between the United States and the European Union, focusing on the: (1) progress FDA has made in developing a plan for assessing equivalence of European Union member states' pharmaceutical good manufacturing practice (GMP) regulatory systems; (2) amounts FDA spent, from October 1994 through March 1999, on negotiating and implementing MRA and the amount FDA plans to spend on making assessments of equivalence; and (3) status of the European Union's efforts to coordinate with FDA to implement MRA."

A letter report issued by the Government Accountability Office with an abstract that begins "The Federal Protective Service (FPS) has not been effective as the lead agency for the government facilities sector, which includes facilities at the federal, state, local, tribal and territorial level. Under the National Infrastructure Protection Plan (NIPP) and the 2010 sector-specific plan, FPS is responsible for establishing a risk management approach and developing effective partnerships for the sector. However, FPS has not implemented a risk management approach. According to FPS, it has not identified or obtained data on facilities at the federal, state, local, tribal and territorial level, which are fundamental for employing a risk management approach. In addition, despite providing information on the principles of threat, vulnerability, and consequence, FPS has not coordinated or assessed risk across government facilities, another key element of risk management. FPS also lacks effective metrics and performance data to track progress toward implementing a risk management approach and for the overall resilience or protection of government facilities. Consequently, FPS does not have a risk management approach for prioritizing and safeguarding critical government facilities. Furthermore, FPS has not built effective partnerships across different levels of government. While FPS chairs the Government …

A letter report issued by the Government Accountability Office with an abstract that begins "The efficient and reliable functioning of the more than $200 billion electric industry is vital to the lives of all Americans. As demonstrated in the 2003 black- out in the Northeast and the 2001 energy crisis in the West, changes in the cost and availability of electricity can have significant impacts on consumers and the national economy. The Federal Energy Regulatory Commission (FERC) supports using demand-response programs as part of its effort to develop and oversee competitive electricity markets. GAO was asked to identify (1) the types of demand-response programs currently in use, (2) the benefits of these programs, (3) the barriers to their introduction and expansion, and (4) instances where barriers have been overcome. Additionally, GAO examined the federal government's participation in these programs through the General Services Administration (GSA)."

A letter report issued by the Government Accountability Office with an abstract that begins "Formaldehyde--one of the most widely produced chemicals in the world--is used in many products, including disinfectants, pressed-wood, and clothing and other textiles. Exposure to this chemical, which has been linked to adverse health effects for more than 30 years, typically occurs through inhalation and dermal (skin) contact. Formaldehyde can be used to enhance wrinkle resistance in some clothing and textiles, especially those made of cotton. The Consumer Product Safety Commission reviewed formaldehyde in clothing in the 1980s and determined that the levels found did not pose a public health concern. At that time, most clothing sold in the United States was made here--but the market has changed such that most U.S. clothing is now made in other countries. This market change has raised anew questions about the levels of formaldehyde in clothing. In response to a mandate in the Consumer Product Safety Improvement Act of 2008, this report provides information on what is known about (1) the health risks of exposure to formaldehyde, particularly from clothing, and (2) the levels of formaldehyde in clothing sold in the United States. GAO analyzed government reviews and the medical …

Guidance issued by the General Accounting Office with an abstract that begins "This August 13, 1999, edition of the Government Auditing Standards has been superseded. This document outlines standards that contain requirements for auditor reporting on internal control."

Correspondence issued by the Government Accountability Office with an abstract that begins "This report responds to certain requirements of the Haitian Refugee Immigration Fairness Act (HRIFA) of 1998 that authorized certain Haitian nationals and their dependents to apply to adjust their status to legal permanent residence. Section 902(k) of the act requires the Comptroller General to report every 6 months on the number of Haitian nationals who have applied and been approved to adjust their status to legal permanent residence. The reports are to contain a breakdown of the number of Haitians who applied and the number who were approved as asylum applicants, parolees, children without parents, orphaned children, or abandoned children; or as the eligible dependents of these applicants, including spouses, children, and unmarried sons or daughters. Reports are to be provided until all applications have been finally adjudicated. This is our eleventh report."

A letter report issued by the Government Accountability Office with an abstract that begins "The Fiscal Year 2004 Defense Appropriations Act and the Senate Report for the 2004 National Defense Authorization Act mandated that GAO examine the Navy and Marine Corps' Tactical Aviation Integration Plan. In response to these mandates, this report addresses (1) how Navy and Marine Corps operational concepts, force structure, and procurement costs change; (2) the methodology and assumptions the services used to analyze the potential for integrating the forces; (3) the analytical process the services used to decide which reserve squadrons to decommission; and (4) other factors that might affect implementation of the Plan."

A letter report issued by the Government Accountability Office with an abstract that begins "The Integrated Postsecondary Education Data System (IPEDS) is the federal government's core postsecondary data collection program. Approximately 6,800 postsecondary schools are required to complete annual IPEDS surveys on topics including enrollment, graduation rates, and finances. As policymakers have sought additional data to increase accountability in postsecondary education, the number and complexity of questions on the IPEDS surveys have increased. GAO was mandated to examine: (1) the time and cost burden for schools completing the IPEDS surveys, (2) options for reducing this burden, and (3) the potential benefits and challenges of collecting additional graduation rate data. To do this, GAO interviewed staff from 22 postsecondary schools, reviewed existing estimates of the IPEDS time and cost burden, interviewed officials at the Department of Education (Education) and Office of Management and Budget, and interviewed higher education associations and higher education software providers."

Correspondence issued by the General Accounting Office with an abstract that begins "This report (1) reviews the usefulness of cooperative agreements as a National Aeronautics and Space Administration (NASA) contractual mechanism, (2) the reasons behind NASA's aggressive and rapid-style management of the X-33 and X-34 programs, (3) the timeliness of NASA's plans to generate adequate program cost estimates for gauging management reserves in the 15-20 percent range, and (4) the influence of the Young report on NASA's management style regarding the restructured X-34 Program. GAO found that the X-33 cooperative agreement limited NASA's exposure to cost growth and allowed industry to embark on such a program at relatively modest investment. To meet the goal set in 1994 by the White House Space Policy, NASA implemented the Reusable Launch Vehicle Program, incorporating a "fast-track" management approach and "new ways of doing business." NASA did not conduct cost estimates before awarding several contracts, thereby increasing the risk that the management reserves might not be sufficient to cover additional contract costs. NASA restructured the plan for the X-34 Program in response to both X-34 Program technical reviews and other internal assessments of NASA programs, including reports on the failed Mars missions, the shuttle …

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on whether the Federal Bureau of Investigation (FBI) delivered the Alcohol, Tobacco, and Firearms' (ATF) Trans World Airlines (TWA) flight 800 crash report to the National Transportation Safety Board (NTSB)."

Correspondence issued by the Government Accountability Office with an abstract that begins "Studies published by the Institute of Medicine and others have indicated that fragmented, disorganized, and inaccessible clinical information adversely affects the quality of health care and compromises patient safety. Health information technology (IT)--technology used to collect, store, retrieve, and transfer clinical, administrative, and financial health information electronically--is seen as a promising solution to this problem. Technologies such as electronic health records (EHR) and bar coding of certain human drug and biological product labels have been shown to save money and reduce medical errors. However, only a small number of U.S. health care providers have fully adopted health IT. Significant financial, technical, cultural, and legal barriers to the adoption of health IT exist. The Department of Health and Human Services (HHS), as a regulator, purchaser, health care provider, and sponsor of research, education, and training, has been working to promote the use of IT in public and private health care settings. There is no comprehensive catalogue of HHS' health IT efforts, however, and little is known about the nature and extent of the legal barriers and HHS's efforts to address them. The Chairman, Senate Committee on Health, Education, Labor, …

Correspondence issued by the General Accounting Office with an abstract that begins "Under its transformation efforts, the Army plans to change the way it organizes, trains, deploys, and equips its forces. It expects the future force to be organized around brigade-size units that perform virtually all Army combat functions. The Army wants to fully equip these units with the Future Combat Systems (FCS), a family of 18 networked, warfighting systems which are intended to be more lethal, survivable, deployable, and sustainable than existing heavy combat systems. In order to deploy faster, the FCS vehicles are expected to be a fraction of the weight of existing heavy armored fighting vehicles. The Army believes that nontraditional fighting tactics coupled with an extensive information network will compensate for the loss of size and armor mass by utilizing information superiority and synchronized operations to see, engage, and destroy the enemy before the enemy detects the future forces. The Army has allocated about $22 billion for the FCS program during fiscal years 2004 through 2009 and several billions more for non-FCS programs that the FCS will need to become fully capable. In addition, the Army recently implemented FCS schedule changes, which added about 2 years …

Correspondence issued by the Government Accountability Office with an abstract that begins "In September 2005, the Defense Base Closure and Realignment Commission recommended that the Department of Defense (DOD) close Fort Monmouth, New Jersey, and realign most of its technical functions to Aberdeen Proving Ground, Maryland, as one of 182 recommendations in the 2005 base realignment and closure (BRAC) round. DOD must complete the closure and realignment actions specified in the recommendation within the statutory 6-year implementation period ending September 15, 2011. Representatives from communities surrounding Fort Monmouth, as well as elected officials, raised concerns during hearings before the BRAC Commission that a number of current employees would not move to Aberdeen Proving Ground, leading to a loss of expertise that could negatively affect ongoing support for military operations, including the Global War on Terrorism. The Secretary of the Army pledged that the Army would not allow the transfer of functions to Aberdeen Proving Ground to affect this ongoing support. Although some of the BRAC commissioners shared the concern about the potential loss of expertise, the commission concluded in its report that DOD could mitigate the adverse effects of moving existing programs over the implementation period. However, to ensure that …

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed a proposal to have a Korean contractor perform depot-level maintenance of U.S. Forces Korea helicopter engines on the Korean peninsula, focusing on the Army's plans to: (1) increase U.S. Forces Korea engine war reserve stocks and improve their management within the Korean theater; (2) increase aviation repair and maintenance capabilities on the Korean peninsula; and (3) continue performing complete T700 series engine overhauls in the United States."

A chapter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the factors causing the federal payroll to increase while the number of federal employees decreased during downsizing, focusing on the extent to which each major factor contributed to the increase in the federal payroll during fiscal years (FY) 1993 through 1997."

A letter report issued by the General Accounting Office with an abstract that begins "GAO reviewed the Department of Veterans Affairs' (VA) management of health care assets."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed how the Forest Service and the Bureau of Land Management (BLM) manage their wildfire programs, focusing on the: (1) process the Forest Service and BLM use to determine the amount of funds needed to prepare for fighting fires; (2) roles and responsibilities of the National Interagency Fire Center in mobilizing firefighting resources; and (3) types of agreements reached among federal, state, and local firefighting organizations."

Other written product issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) new rule on changes to the hospital inpatient prospective payment systems and fiscal year 2000 rates. GAO noted that: (1) the final rule would revise the Medicare hospital inpatient prospective payment systems for operating costs and capital-related costs to implement changes arising from HCFA's continuing experience with the systems; and (2) HCFA complied with applicable requirements in promulgating the rule."

A letter report issued by the General Accounting Office with an abstract that begins "International crimes, such as drugs and arms trafficking, terrorism, money laundering, and public corruption, transcend national borders and threaten global security and stability. The National Security Council (NSC) told GAO that international crime and the framework for the U.S. response are under review by the new administration. The extent of International crime is growing, but measuring its true extent is difficult. Several efforts have been made to gauge the threat posed to the United States and other countries by international crime. The 1999 threat assessment was classified, but a published version of the 2000 assessment divided the threat into the following five broad categories: (1) terrorism and drug trafficking; (2) illegal immigration, trafficking of women and children, and environmental crimes; (3) illicit transfer or trafficking of products across international borders; (4) economic trade crimes; and (5) financial crimes. NSC identified 34 federal entities with significant roles in fighting international crime. These included the Department of Justice, Treasury, and State, and the U.S. Agency for International Development. The efforts to combat public corruption internationally involves two strategies: the elimination of bribes in transnational business activities, such as …

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the progress being made in addressing the year 2000 computing challenge, focusing on: (1) the federal government's progress and the challenges that remain in correcting its systems; (2) state and local government year 2000 issues; and (3) the readiness of key public infrastructure and economic sectors."

A letter report issued by the General Accounting Office with an abstract that begins "Millions of people who live and work near eight Army storage facilities containing 30,000 tons of chemical agents are at risk of exposure from a chemical accident. In 1988, the Army established the Chemical Stockpile Emergency Preparedness Program (CSEPP) to assist 10 states with communities near these eight storage facilities. The Army and the Federal Emergency Management Agency (FEMA) share the federal government's responsibility for the program's funding and execution. Since its inception, the program has received more than $761 million in funding. One third of this amount has been spent to procure critical items. Because each community has its own site-specific requirements, funding has varied greatly. For example, since the states first received program funding in 1989, Illinois received as little as $6 million, and Alabama received as much as $108 million. GAO found that many of the states have made considerable progress in preparing to respond to chemical emergencies. Three of the 10 states in the CSEPP are fully prepared to respond to an emergency and four others are making progress and are close to being fully prepared. This is a considerable improvement since …