A letter report issued by the General Accounting Office with an abstract that begins "This report reviews the Department of Veterans Affairs (VA) fiscal year 2000 performance report and fiscal year 2002 performance plan required by the Government Performance and Results Act of 1993 to assess VA's process in achieving selected key outcomes that are important to its mission. VA reported making mixed progress towards achieving its key outcomes. For example, VA reported that it made good progress in providing high-quality care to patients, but it did not achieve its goal of processing veterans' benefits claims in a timely manner. GAO found out that VA made several improvements to its fiscal year 2000 performance report and 2002 performance plan. These improvements resulted in clearer discussions of VA's management challenges and additional performance measures for assessing program achievement. Furthermore, VA addressed all six of the major management challenges previously identified by GAO, and generally described goals or actions that VA is taking or plans to take in response to them. VA has established strategies for achieving strategic goals and objectives for two of these challenges: human capital management and information security. VA has established a performance goal and identified milestones for …

Correspondence issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs' (VA) information technology (IT) program faces many challenges, including filling its chief information officer position, improving computer security, and refining its process for selecting, controlling, and evaluating its information technology investments. This correspondence answers several questions from Congress on these and other challenges facing VA's IT program."

Correspondence issued by the General Accounting Office with an abstract that begins "Congress, the Department of Veterans Affairs, and veterans service organizations have all raised concerns about the accuracy of claims processing in the Veterans Benefits Administration (VBA). In 1998, VBA launched its systematic technical accuracy review (STAR) system to better measure the accuracy of claims processing. The system determines accuracy rates for (1) the nation as a whole, (2) each VBA service delivery network, and (3) each VBA regional office. GAO reported in 1999 that the accuracy rates for claims processing at regional offices was being determined by regional staff who themselves were involved in processing claims and who reported to managers responsible for claims processing. This arrangement did not meet either the government's internal control standard calling for the segregation of key duties or the performance audit standard calling for organizational independence for those who review and evaluate program performance. Congress subsequently required VBA to institute a quality assurance program that met government standards. VBA plans to modify the STAR system by October 1, 2001, to bring it into compliance with the standards on the segregation of duties and organizational independence. All STAR reviews will be done by …

A letter report issued by the General Accounting Office with an abstract that begins "The Veterans Benefits Administration (VBA) developed a computer-assisted training program, known as the Training and Performance Support System (TPSS), to help its employees become more accurate in processing disability compensation and pension claims. The program seeks to provide uniform and consistent training to employees in 57 regional offices. Although VBA's long-term goal is to attain a 96 percent accuracy rate for claims processing, VBA reported an accuracy rate of only 59 percent for fiscal year 2000. This report reviews (1) the status of the TPSS program's development and implementation and (2) the extent to which TPSS will meet its objectives. GAO found that despite VBA's objective to centrally develop a standardized training program, significant delays in the development of TPSS are hindering the program's ability to provide standardized training to claims processing employees. According to VBA's current schedule, the full development of the program will not be completed until at least 2004, or about two years later than VBA had planned. Although VBA provided nine training modules to regional offices to begin the program, the extent to which the offices implemented them varied considerably. Many offices …

A letter report issued by the General Accounting Office with an abstract that begins "Recognizing that the country's fragmented employment and training programs were not serving job seekers or employers well, Congress enacted the Workforce Investment Act (WIA) in 1988. One of WIA's goals was to create a one-stop center system to help unify the services provided by many programs and give states the flexibility to design services better suited to local workforce needs. Veterans' employment and training programs, administered by the Department of Labor's Veterans' Employment and Training Service (VETS), are mandatory program partners in this new one-stop center system. VETS administers two grants programs--the Disabled Veterans' Outreach Program (DVOP) and the Local Veterans' Employment Representative (LVER) program--that fund staff offering services for veterans. Although veterans receive priority employment services at one-stop centers, VETS does not collect appropriate data for determining the effectiveness of these services, including subsequent job retention and wages. VETS requires states to collect information on the number and type of employment services provided to veterans relative to nonveterans. This information showed that veterans received more intensive services, and received these services more readily, than did nonveterans seeking services through states' employment service offices or one-stop …

Testimony issued by the General Accounting Office with an abstract that begins "The Veterans' Employment and Training Service (VETS) runs programs and activities designed to help veterans obtain employment and training assistance. Recently, policymakers have advocated changes to the structure and administration of the VETS program and the way it assesses program performance. This testimony discusses VETS' efforts to improve its performance measurement system. VETS has proposed changes to its performance measurement system that will move it closer to implementing an effective accountability system. However, more changes are needed so that VETS can effectively determine whether its programs and services are fulfilling its mission. VETS continues to send a mixed message to states about what services to provide and to whom. In addition, two of the proposed measures may provide nearly identical results, and neither helps VETS to monitor whether more intensive services are being provided to veterans or whether these services are successful. Furthermore, through its planning documents and proposed performance measures, VETS continues to inconsistently identify the groups of veterans that it wants states to help. This testimony summarizes a May report (GAO-01-580)."

Testimony issued by the General Accounting Office with an abstract that begins "The Department of Labor's (DOL) Disabled Veterans' Outreach Program (DVOP) and Local Veterans' Employment Representative (LVER) program allow states to hire staff members to serve veterans exclusively. The two programs are mandatory partners in the new one-stop center system created in 1998 by the Workforce Investment Act, which requires that services provided by numerous employment and training programs be made available through one-stop centers. The act also gives states the flexibility to design services tailored to local workforce needs. Although the DVOP and LVER programs must operate within the one-stop system, the act does not govern the programs--and the law that governs them does not provide the same flexibility that the act does. Because Congress sees employment service for veterans as a national responsibility, it established the Veterans' Employment and Training Service (VETS) to ensure that veterans, particularly disabled veterans and Vietnam-era veterans, receive priority employment and training opportunities. To make better use of DVOP and LVER staff services, VETS needs the legislative authority to grant each state more flexibility to design how this staff will fit into the one-stop center system. VETS also needs to be able …

A letter report issued by the General Accounting Office with an abstract that begins "This report discusses the proposed performance measurement system at the Department of Labor's Veterans' Employment and Training Service (VETS). Specifically, GAO reviews (1) VETS' proposed performance measures, including possible concerns about the measures; (2) the proposed data source for the new system; and (3) other measurement issues that would effect the comparability of states' performance data. GAO found that VETS' proposed performance measures would improve performance accountability over the current system, but some aspects of the new measures raise concerns. VETS' strategic plan suggests that states focus their efforts on providing staff-assisted services to veterans, including case management. Yet none of the proposed measures specifically gauge the success of these services. In addition, VETS' proposal includes one measure--the number of federal contractor jobs listed with local employment offices--that is not only process-oriented but also focuses on outcomes that are beyond the control of staff serving veterans. VETS proposes that all states use a single data source--Unemployment Insurance wage records--to identify veterans who get jobs. Using these data will greatly improve the comparability and reliability of the new measures. Although using these data will improve some aspects …

A statement of record issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs (VA) requested and received $195 million for Hepatitis C screening and treatment in fiscal year 2000. VA's budget documentation showed that it had spent $100 million on Hepatitis C screening and treatment, leaving a difference of $95 million between its estimated and actual expenditures. However, GAO's review revealed that the difference was actually much larger--$145 million. VA's documentation showed that only $50 million was used for budgeted activities and $50 million was used for an activity not included in its original budget--treatment of conditions related to Hepatitis C. It appears that VA is unable to develop a budget estimate that can reliably forecast its Hepatitis C funding needs at this time. However, VA's Veterans Health Administration (VHA) appears to be taking reasonable steps to improve future budget estimates and thereby minimize the potential for large differences. Such steps include developing a Hepatitis C patient registry that could provide the critical data needed to improve budgetary estimates. However, this registry could take as long as 15 months to become operational, which suggests that it may not provide budgetary data in time …

Testimony issued by the General Accounting Office with an abstract that begins "Three years ago, the Department of Veterans Affairs (VA) characterized hepatitis C as a serious national health problem that needs early detection to reduce transmission risks, ensure timely treatment, and prevent progression of liver disease. In a 1988 letter, VA outlined the process clinicians should use when (1) screening veterans for known risk factors for exposure to hepatitis C and (2) ordering tests to detect antibodies and diagnose hepatitis C infection as part of a plan to evaluate and assess risk factors for VA patients. This testimony discusses VA's progress in screening and testing veterans for hepatitis C during fiscal years 1999 and 2000. GAO found that VA missed opportunities to screen as many as three million veterans when they visited medical facilities during fiscal years 1999 and 2000, potentially leaving as many as 200,000 veterans unaware that they have hepatitis C infections. Of those screened, an unknown number likely remain undiagnosed because of flawed procedures. Although the pace of screening and testing appears to be improving, many currently undiagnosed veterans may not be identified expeditiously unless VA (1) establishes early detection of hepatitis C as a standard …

Other written product issued by the General Accounting Office with an abstract that begins "GAO reviewed violation of the Federal Vacancies Reform Act of 1998 and noted that, during the last administration, the acting Director of the Institute of Museum and Library Services (Institute) had served longer than the 210-day period allowed under the Act. However, with the recent Presidential transition, an acting Director may, as of January 20, 2001, once again temporarily serve for the time period allowed under the Presidential inaugural transition provision. Therefore, no action need be taken at this time since there is no current violation of the Act."

A letter report issued by the General Accounting Office with an abstract that begins "Federal law requires that disabled persons have access to polling places on election day. State political subdivisions must ensure that polling places used in federal elections are accessible. Exceptions are allowed if all potential polling places have been surveyed, no accessible place is available, and the political subdivision cannot make one temporarily accessible. In these cases, disabled voters must either be reassigned to an accessible polling place or provided another means for voting on election day. All states have provisions that address voting by people with disabilities, but these provisions vary greatly. All states provide for one or more alternative voting methods or accommodations that may facilitate voting by people with disabilities. States and localities have made several efforts to improve voting accessibility for the disabled, such as modifying poling places, acquiring new voting equipment, and expanding voting options. Nevertheless, state and county election officials GAO surveyed cited various challenges to improving access."

A letter report issued by the General Accounting Office with an abstract that begins "U.S. drinking water and wastewater systems encompass thousands of treatment and collection facilities and more than a million miles of pipes and conduits. The estimated cost to repair, replace, or upgrade aging facilities; accommodate the nation's growing population; and meet new water quality standards ranges from $300 billion to $1 trillion over the next 20 years. Although user rates are the major source of facilities' financing, federal and state government agencies also offer financial support. From fiscal years 1991 through 2000, nine federal agencies provided $44 billion for drinking water and wastewater capital improvements. Four agencies--the Environmental Protection Agency and the Departments of Agriculture, Housing and Urban Development, and Commerce--accounted for about 98 percent of that account. State governments made $25 billion available for water infrastructure programs during the past 10 years."

A letter report issued by the General Accounting Office with an abstract that begins "The Environmental Protection Agency (EPA) considers the contaminants in storm water runoff as a significant threat to water quality across the nation. Prompted by Congress, EPA has responded with various initiatives, including the National Pollutant Discharge Elimination System Storm Water Program, which requires more than 1,000 local governments to undertake storm water management programs. Those municipalities in Phase I of the program have been trying to reduce pollutants in storm water runoff for several years, and it is time to begin evaluating their efforts. EPA however, has not established measurable goals for this program, nor has it attempted to evaluate the program's effectiveness in reducing storm water pollution or to determine its cost. EPA attributes its inaction to inconsistent data reporting from municipalities, insufficient staff resources, and other competing priorities within the Office of Wastewater Management. Although municipalities report monitoring and cost data to EPA or state regulatory agencies annually, these agencies have not reviewed this information to determine whether it can be useful in determining the program's overall effectiveness or cost. GAO found that the reported cost information will be difficult to analyze unless EPA …

Testimony issued by the General Accounting Office with an abstract that begins "The attacks of September 11 and the recent anthrax cases have heightened long-standing concerns about the proliferation of weapons of mass destruction. The United States and the international community have undertaken several efforts over the years to secure these weapons and prevent their spread. Today, there is renewed need to maintain strong international controls over such weapons and related technologies, and to reevaluate the effectiveness of the controls. The United States has used the following four key policy instruments to combat the proliferation of weapons of mass destruction: (1) international treaties, (2) multilateral export control arrangements, (3) U.S. export controls, and (4) security assistance to other countries. Each instrument is important to preventing the transfer of weapons of mass destruction and associated technologies to terrorists or rogue states, but each has limitations. International treaties restrict transfers of weapons of mass destruction technologies, but their effectiveness depends on whether treaties can be verified and enforced and whether all countries of concern are members. Multilateral export control arrangements are voluntary, nonbinding agreements under which countries that produce the technologies used to develop weapons of mass destruction agree to restrict the …

A letter report issued by the General Accounting Office with an abstract that begins "Since 1994, the United States has appropriated $227 million to support two multilateral science centers in Russia and Ukraine. The science centers pay scientists who once developed nuclear, chemical, and biological weapons and missile systems for the Soviet Union to conduct peaceful research. By employing scientists at the science centers, the United States seeks to reduce the risks that these scientists could be tempted to sell their expertise to terrorists. This report examines the (1) selection procedures the State Department uses to fund projects that meet program objectives and (2) monitoring procedures the State Department uses to verify that scientists are working on the peaceful research they are paid to produce. GAO found that State lacks complete information on the total number and locations of senior scientists and has not been granted access to senior scientists at critical research institutes under the Russian Ministry of Defense. GAO also found that State has designed an interagency review process to select and fund research proposals submitted by weapons scientists to the science centers in Russia and Ukraine. The overall goal is to select projects that reduce proliferation risks …

A letter report issued by the General Accounting Office with an abstract that begins "The reauthorization of the Temporary Assistance for Needy Families (TANF) block grant represents an opportunity to re-examine the fiscal balance between the federal government and the states in providing services to needy families. Since the enactment of federal welfare reform, there has been much discussion of the fiscal implications of these sweeping changes in national welfare policy. A particularly contentious issue has been the extent to which states have replaced, rather than supplemented, their own spending with federal TANF dollars, thereby freeing up state funds for other budget priorities. This report reviews (1) the degree to which states have used the flexibility afforded in the federal TANF grant to supplant, rather than supplement, state spending for low-income families; (2) the changes that have occurred in the states' use of different funding sources (including their TANF funds) on programs that help the poor; (3) the effects of state funding choices on the amounts of TANF funds the states have left unspent at the U.S. Treasury; and (4) the measures states are taking to save a portion of the TANF grant or set aside their funds for a …

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses states' plans for operating their Temporary Assistance for Needy Families (TANF) programs in the event of an economic downturn. GAO found that the data available on the levels and adequacy of states' reserves is insufficient and misleading. Furthermore, most states have done little planning for economic contingencies. Many states cite obstacles to saving money for possible economic downturns. Although TANF funds can be set aside in a budgetary reserve, state officials said that they are concerned that the accumulation of unspent TANF funds might signal that the funds are not needed. Another option for states would be to save their own funds in a general purpose rainy day account, but state officials said that welfare would have to compete with other state priorities when these funds are released from state treasuries. There are now federal contingency mechanisms for states to access additional federal resources in the event of a recession or other emergency--the Contingency Fund for State Welfare Programs and the Federal Loan for State Welfare Programs. However, states generally found these programs too complex and restrictive, and would most likely find other ways to …

A letter report issued by the General Accounting Office with an abstract that begins "In 1998, three-fourths of welfare recipients lived in central cities or rural areas, but two-thirds of new, entry-level jobs were in the suburbs. Public transportation, such as buses or subways, often offer little or no access to these jobs, and many welfare recipients do not have cars. To address this mismatch, the Transportation Equity Act for the 21st Century authorized up to $750 million through fiscal year 2003 for the Job Access and Reverse Commute (Job Access) program. Under the program, the Department of Transportation (DOT) can provide grants to improve transportation to employment sites. DOT must conduct a nationwide solicitation for grant applications and select grantees on a competitive basis. DOT adopted a two-track process for the selection of grantees. A noncompetitive process set aside funds for entities identified in conference reports, or applicants selected by those entities, and they were chosen without scoring or ranking their applications. The previously established competitive process for other applicants was continued. This two-track process for selecting Job Access grantees decreased opportunities to fund projects identified as "meritorious" through the competitive selection process. Although grantees must be chosen on …

A letter report issued by the General Accounting Office with an abstract that begins "GAO commented on the federal government's ability to assess the goals of the Temporary Assistance for Needy Families (TANF) program using national, state, and local data. These data address the goals to differing degrees. National data, which includes data collected in national surveys and information that all states report to the Department of Health and Human Services (HHS), include extensive information on TANF's two goals of providing assistance to needy families and ending dependency on government benefits but have limited information on promoting family formation. The data pertain to such issues as changes in TANF workloads, recipients' participation in work activities, employment status and earnings, and family well-being. Although there are national data on the incidence of out-of-wedlock births and marriage among TANF recipients and other low-income families, these data include only very recently available information on states' strategies to prevent out-of-wedlock pregnancies or promote family formation. Studies of welfare reform at the state and local levels contain the same kind of information as national data, but they also include information about areas very recently covered by national data. Much of these data come from waiver …

Correspondence issued by the General Accounting Office with an abstract that begins "Without adequate transportation, welfare recipients face significant barriers in moving from welfare to work. Three-fourths of welfare recipients live in central cities or rural areas, while two-thirds of the new jobs are in the suburbs. For many of these new jobs, access to public transportation facilities, such as buses or subways, is limited or nonexistent. To address this issue, the Department of Transportation (DOT) implemented the Job Access and Reverse Commute program. GAO's previous reviews of this program found that, although it would help support the reform of the welfare system by providing transportation resources to welfare recipients, DOT needed to improve several aspects of the program. GAO made several recommendations to enhance DOT's evaluation of the program and to promote coordination with other agencies. GAO reported that in 1999 and 2000, DOT had implemented the recommendations and had taken steps to refine its grant selection process. GAO plans to issue a report on the Job Access program in December 2001, and, in 2002, GAO expects to report on grantees' experiences in implementing their Job Access projects."

A letter report issued by the General Accounting Office with an abstract that begins "The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 significantly changed federal welfare policy for low-income families with children. The act eliminated eligible families' legal entitlement to cash assistance and created Temporary Assistance for Needy Families (TANF) block grants to states. TANF emphasizes the importance of work and personal responsibility rather than dependence on government benefits. To avoid financial penalties, states must demonstrate yearly that an ever-increasing proportion of adults receiving TANF are working or engaged in work-related activities. The U.S. Census Bureau's Survey of Income and Program Participation (SIPP) for 1999 show that 44 percent of TANF recipients nationwide had physical or mental impairments, a proportion almost three times as high as among adults in the non-TANF population. The percentages of TANF adults with impairments from 1994 can not be compared to later years because Census broadened its measurements of mental impairments starting with its 1997 SIPP data. Most of the counties that screen for impairments rely on recipients' self-disclosure, which may not ensure the identification of some impairments that could interfere with employment. Still, for the one-third of counties that reported service data, …

A letter report issued by the General Accounting Office with an abstract that begins "To reduce out-of-wedlock pregnancies among welfare recipients, some states have imposed family caps on welfare benefits. One factor that determines the amount of cash benefits a family receives is the family's size--larger families receive more benefits. In states with a family cap policy, however, no additional cash benefits are provided with the birth of another. Twenty-three states have implemented some variation of a family cap, breaking the traditional link between a family's size and the amount of its monthly welfare check. Generally, these states implemented family cap policies as part of their welfare reforms to reduce out-of-wedlock births and to encourage self-sufficiency. During an average month in 2000, 20 of the 23 family cap states reported that about 108,000 families received less in cash benefits than they would have in the absence of state-imposed family cap policies. In an average month, about nine percent of welfare families in these states had their benefits affected by the family cap. A family's welfare benefits are affected by several factors, including earnings and receipt of child support. Therefore, states were unable to report the precise effect of the family …

A letter report issued by the General Accounting Office with an abstract that begins "Although some welfare recipients who might seem hard to employ are able to successfully enter the workforce, others have needed considerable time and support to become work-ready. As a result, some states have begun to implement or are considering strategies to help hard-to-employ recipients join the workforce. To be successful in moving hard-to-employ Temporary Assistance for Needy Families (TANF) recipients into the workforce within their 60-month time limit for federal benefits, states must develop programs and provide work and work-preparation activities tailored to the needs of their hard-to-employ recipients and they must ensure that recipients with characteristics that impede employment have access to programs and activities that meet their needs. Some states believe that they would be better able to accomplish this if they (1) had caseload data on the number and characteristics of hard-to-employ TANF recipients, particularly those who will reach their 60-month limit before they are able to work and (2) used a range of work and work-preparation activities that meet the needs of hard-to-employ recipients, including activities that extend beyond those that meet federal work participation requirements."