A letter report issued by the General Accounting Office with an abstract that begins "The Federal Aviation Administration (FAA) administers the Airport Improvement Program (AIP), which provides billions of dollars in federal grants to airports for planning and development projects. The total funds awarded by FAA was consistent with the total amount of AIP funds available for obligation for fiscal years 1996 through 2000. FAA also made available or awarded AIP grant funds in accordance with the statutory formulas and set-asides contained in the authorization acts for the five fiscal years reviewed. In some cases, FAA awarded more funding than required to some airports and projects when it distributed the remaining AIP discretionary funds, which are not subject to statutory formulas or set-asides. GAO also found that small airports received greater amounts than large airports."

Other written product issued by the General Accounting Office with an abstract that begins "The Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001 (the Act) required that the Comptroller General of the United States convene a panel of experts to study the policies and procedures governing the transfer of commercial activities for the federal government from government personnel to a federal contractor. The Panel held a total of 11 meetings over the period of May 2001 to March 2002, including three public hearings in Washington, D.C., Indianapolis, Indiana, and San Antonio, Texas. In these hearings, panelists heard first-hand both about the current process, primarily the cost comparison process conducted under Office of Management and Budget Circular A-76, as well as alternatives to that process. Panel staff conducted an extensive amount of additional research, review, and analysis in order to supplement and evaluate the public testimony. This report includes the findings of the Panel as a whole, as well as a written statement from each Panel member as the Panel's report and recommendations."

A letter report issued by the General Accounting Office with an abstract that begins "The Defense Logistics Agency (DLA) reported that a shortage of spare parts has caused a decline in the military services' readiness, particularly in aviation readiness. In response, Congress provided $1.1 billion in additional funding to purchase spare parts. According to DLA, shortages are a result of aging systems and high operational tempo, which increase the total number of spare parts required. The number of spare parts the military services ordered declined between 1996 and 2000, but the dollar value increased by 18 percent. Further, spare parts purchased were drawn from 70 of 78 stock groups. Defense officials told GAO that military downsizing was the primary reason for the decline and that credit card usage and contractor maintenance support also contributed. The reasons cited for the increase were (1) DLA shifts to a mix of more expensive spare parts and (2) price increases due to inaccurate initial price estimates, long periods between procurements, and substantial changes in the quantity of spare parts purchased."

A letter report issued by the General Accounting Office with an abstract that begins "The Air Force expeditionary aerospace force concept seeks to spread deployments more evenly across its forces and increase the predictability of deployments. By dual-tasking some fighter squadrons the Air Force could fulfill two requirements as the 2010 Concept envisions. Although significant challenges could impede the ability to maximize these benefits, the Air Force has not specifically analyzed what is needed to implement dual-tasking by 2010. Dual-tasking would result in more efficient use of squadrons and greatly reduce the need to use squadrons for more than one 90-day deployment every 15 months. Dual-tasking would provide theater commanders with the same number of aircraft to meet requirements as under current practice; however, the aircraft would come from fewer squadrons. Because a larger proportion of a squadron's aircraft would be used to meet requirements, and because dual-tasking uses fewer squadrons to meet requirements, the need to repeatedly use the same squadrons would be reduced. The number of squadrons needed for more than one 90-day period over a 15-month period would decline from 26 squadrons to five. More training would be required under dual-tasking. Yet, the Air Force has not …

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Education's Office of Federal Student Aid (FSA) administers more than $53 billion in financial aid for more than 8.1 million students. Since 1990, GAO has included student financial aid on its high-risk list. To address these and other long-standing management weaknesses, Congress established FSA as a performance-based organization (PBO) within Education in 1998. To develop and implement a strategic direction, FSA set three strategic goals, created indicators to measure progress toward these goals, and developed a tool to link employees' day-to-day activities to these goals. The goals are to (1) increase customer satisfaction, (2) increase employee satisfaction, and (3) reduce unit cost. FSA's efforts have generally improved customer and employee satisfaction scores. FSA has begun to implement some human capital practices to better organize its services and manage its employees. But gaps exist, and FSA has not yet implemented performance management initiatives to develop and assess its employees. To better serve customers, FSA reorganized to reflect its different customers--students, schools, and financial partners. To encourage accountability, FSA is linking staff bonuses to FSA's strategic goals. Education continues to clarify FSA's level of independence …

Testimony issued by the General Accounting Office with an abstract that begins "The national school lunch and breakfast programs provide inexpensive or free meals to more than 27 million children each day. During the 1990s, nearly 300 outbreaks of foodborne illness at the nation's schools sickened 16,000 students. The rise in the number of school outbreaks mirrors a rise in the number of outbreaks in the overall population, according to the Centers for Disease Control and Prevention (CDC). Because the CDC data include outbreaks attributable to food brought from home or other sources, GAO could not determine the extent to which food served in the school meal programs caused reported outbreaks. Data from 1998 and 1999 do show, however, that most of the outbreaks during those years were caused by foods served through the school meal program. Foods contaminated with salmonella and Norwalk-like viruses were the most common causes of outbreaks. GAO found that the Department of Agriculture has not developed security measures to protect foods served at schools from deliberate contamination. The existing food safety system is a patchwork of protections that fall short in addressing existing and emerging food safety threats."

A statement of record issued by the General Accounting Office with an abstract that begins "This testimony discusses group purchasing organizations (GPO) for medical devices and supplies used in hospitals. By pooling the purchases of their member hospitals, these specialized firms negotiate lower prices from vendors. GAO found that a hospital's use of a GPO contract did not guarantee that the hospital saved money: GPOs' prices were not always lower and were often higher than prices paid by hospitals negotiating directly with vendors. GAO studied price savings with respect to: (1) whether hospitals using GPO contracts received better prices than hospitals that did their own contracting, (2) the size of the hospital, and (3) size of the GPO. This data raises questions about whether GPOs, specially large GPOs, achieve consistent price savings."

A letter report issued by the General Accounting Office with an abstract that begins "Since the early 1970's, the federal government has provided a large share of the nation's capital investment in urban mass transportation. Much of this funding has come through the Federal Transit Administration's (FTA) New Starts Program, which helps pay for rail, bus, and trolley projects. The Transportation Equity Act for the 21st Century authorized about $6 billion in "guaranteed" funding for the New Starts program through fiscal year 2003. FTA's evaluation process assigns candidate projects individual ratings for project justification and local financial commitments. The process also assigns an overall rating intended to reflect the project's merit. FTA recommended four projects for funding commitments for fiscal year 2003 in its New Starts report and budget proposal. FTA evaluated 50 proposed projects for fiscal year 2003 and developed ratings for 31 of them. Twenty-seven of these projects were rated as "highly recommended" or "recommended." Although FTA has faced transit budget crunches for years, the agency will end the act's authorization period with $310 million in unused commitment authority. Proposals to limit the amount of New Starts funds would allow more projects to receive such funding, but could …

A letter report issued by the General Accounting Office with an abstract that begins "Rigorous, realistic training is key to military readiness. All U.S. military forces conduct frequent training exercises to hone and maintain their war-fighting skills. Combat units stationed outside the continental United States are able to meet many of their training requirements but face constraints in such areas as (1) maneuver operations, (2) live ordnance practice, and (3) night and low altitude flying. Training constraints cause adverse effects, including (1) requiring workarounds that can breed bad habits affecting combat performance; (2) requiring military personnel to be away from home more often; and (3) preventing training from being accomplished. To address these concerns, military commands and services are negotiating with host governments to lessen restrictions on existing training areas, but such actions are often done at an individual-service level and sometimes create unforeseen problems for other services and for existing training capabilities."

A letter report issued by the General Accounting Office with an abstract that begins "The tremendous outpouring of charitable donations in response to September 11 has raised concerns about whether some charities are spending too much on fundraising and management and too little on the charitable purposes related to their tax-exempt status. GAO found that Form 990 expense data is inadequate for public oversight purposes because charities have considerable discretion in recording their expenses when it comes to fundraising, management, and charitable services. The Internal Revenue Service (IRS) lacks data on the type and extent of possible compliance issues among charities. Moreover, IRS oversight of charities suffers from a lack of results-oriented goals and strategies. Concerns have also been raised that IRS's resources have not kept pace with the growth in the charitable sector, and some measures suggest that available resources may not be used as effectively as in the past. State officials consider inadequate the charity data IRS shares with them. IRS does not proactively share some data that states are permitted to receive, such as denials and revocations of charities' tax-exempt status. Federal law prohibits sharing some data that state officials believe would be valuable, such as the …

Testimony issued by the General Accounting Office with an abstract that begins "The Veterans Equitable Resource Allocation (VERA) system allocated $17.8 billion of its $20.3 billion health care budget to 22 regional health care networks in fiscal year 2001. Before Vera resources were allocated to facilities on the basis of their historical expenditures. By aligning resources with workloads VERA shifted about$921 million among VA's networks in fiscal year 2001. VERA's design is reasonable for equitably allocating resources, but improvements could better allocate comparable resources for comparable workloads. VERA's allocations are based primarily on network workload, with adjustments made for factors beyond the control of network management. These include the health care needs of veterans and some local cost differences. VERA's design also protects patients from the effects of network budget shortfalls. However, GAO found that $200 million annually that could be reallocated to better align network resources with workloads. First, VERA's measurement of network workload is not accurate enough to determine each network's allocation because VERA excludes most veterans with higher incomes who do not have service-connected disabilities--about one-fifth of VA's workload. Second, VERA does not accurately adjust for cost differences among networks for differences in patients' health care needs …

Correspondence issued by the General Accounting Office with an abstract that begins "This report evaluates the use of profits from the Library of Congress' retail activities to support other Library activities. GAO found that the Library has not yet developed an overall plan, specific business plans, pricing policies, or the accounting procedures to generate profits to support other activities. Although it has policies and procedures to control the use of its logo, the Library has not yet defined the scope and mission of the retailing functions, control of products, or licensing agreements. The Library's three major retail activities--the Photoduplication Service, the Gift Shop, and the Audio Video Laboratory--have not consistently generated profits or covered all costs for the last five years. In each case, the activity's total expenses exceeded its total revenues. GAO found that the Library is not able to conduct a study on generating profits from the its retail activities to support other Library activities or evaluate options."

Correspondence issued by the General Accounting Office with an abstract that begins "The Office of Management and Budget's (OMB) Office of Information and Regulatory Affairs (OIRA) prepares an annual report on the implementation of the Paperwork Reduction Act. OIRA's fiscal year 2002 report differed from the agency's previous reports in two important respects. First, the report provided agency-specific information on paperwork burden-hour estimates and violations only for the cabinet departments and the Environmental Protection Agency, but not for for the 12 independent agencies that had been included previously. Second, the report merged data on causes of changes in agencies' burden-hour estimates that previously had been presented separately. According to OIRA the agencies were excluded because (1) OMB's authority over the independent agencies is limited, (2) most independent agencies have total burden inventories under 10 million hours, and (3) OMB can best use its limited resources by focusing on the agencies that impose the most paperwork burden and over which OMB has more authority. OIRA classifies modifications in agencies' burden-hour estimates as either "adjustments" or "program changes." Although OIRA reported adjustments and program changes as separate data in fiscal years 2000 and 2001, the fiscal year 2002 report only included information …

Correspondence issued by the General Accounting Office with an abstract that begins "In addition to providing an overview of a company's business operations, the annual reports submitted to the Securities and Exchange Commission present important information on an employer's estimated obligations for postemployment benefits, including retiree health benefits. However, the assumption used to estimate obligations for postemployment benefits vary across companies and are not comparable. Financial Accounting Standards Board guidelines give employers latitude in calculating these obligations. Moreover, changes in companies' benefit offerings or financial stability would likely alter companies' obligations for retiree health benefits. Most employers also reserve the right to change or terminate retiree health benefits."

Testimony issued by the General Accounting Office with an abstract that begins "The Social Security numbers (SSN), originally created in 1936 to track workers' earnings and eligibility for Social Security benefits is now used for many other purposes by both government and private sectors. The growth in electronic record keeping and the availability of information over the Internet, combined with the rise in identity theft, have heightened public concern about how their SSNs are being used. Federal agencies use SSNs to manage records, verify the eligibility of benefit applicants, collect outstanding debts, and do research and program evaluation. GAO found that federal laws designed to protect SSNs are not being followed consistently, Moreover, courts at all levels of government and offices at the state and county level maintain records that contain SSNs for the purpose of making these records available to the public. Recognizing that these SSNs may be misused, some government entities have taken steps to protect the SSNs from public display. At the same time, however, some government entities are considering making more public records available on the Intranet. Ease of access to electronically available files could encourage more information gathering from public records on a broader scale …

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs (VA) provides health care services to veterans who have been diagnosed with psychosis--primarily schizophrenia, a disorder that can substantially limit their ability to care for themselves, secure employment, and maintain relationships. These veterans also have a high risk of premature death, including suicide. Effective treatment, especially antipsychotic drug therapy, has reduced the severity of their illnesses and increased their ability to function in society. VA's guideline for prescribing atypical antipsychotic drugs is sound and consistent with published clinical practice guidelines used by public and private health care systems. VA's prescribing guideline, recommends that physicians use their best clinical judgment, based on clinical circumstances and patients' needs, when choosing among the atypical drugs. Most Veterans Integrated Service Networks and facilities use VA's prescribing guideline; however, five VISNs have additional policies and procedures for prescribing atypical antipsychotic drugs. Although these procedures help manage pharmaceutical cost, they also have the potential to result in more weight given to cost than clinical judgment which is not consistent with the prescribing guideline."

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Defense (DOD) downsized its acquisition workforce by half in the past decade. It now faces serious imbalances in the skills and experience of its remaining workforce and the potential loss of highly specialized knowledge if many of its acquisition specialists retire. DOD created the Acquisition 2005 Task Force to study its civilian acquisition workforce and develop a strategy to replenish personnel losses. In response to a legislative mandate, DOD reported on its plans to implement the task force's recommendations as required by the National Defense Authorization Act for Fiscal Year 2002. DOD's report shows that it has made progress in reshaping its acquisition workforce. For example, DOD is working to remove barriers to its strategic planning initiative; continuing to test various human capital innovations; and has begun making significant changes to its acquisition workforce-training program. DOD's report provides information on implementation of the task force's recommendations and their status. However, for many initiatives, DOD did not clearly describe the actions taken or when they occurred, nor did it identify all planned actions and schedules for completing the initiatives."

A letter report issued by the General Accounting Office with an abstract that begins "Dioxins--chemical compounds that share structural and biological characteristics--have been linked to human illnesses, including cancer. Often the byproducts of combustion and industrial processes, complex mixtures of dioxins enter the food chain and human diet through emissions into the air. The Environmental Protection Agency (EPA) and the World Health Organization (WHO) noted the potential human health risks of dioxins in the 1970s when animal studies showed them to be among the most potent cancer-causing chemicals. EPA derived its estimates of human dietary exposure to dioxins in the United States from (1) chemically analyzed samples of 10 food types, (2) toxicity estimates of levels of individual dioxins in these foods, and (3) estimates of the quantities of these foods consumed by Americans. To develop more reliable national estimates of dietary exposure, EPA incorporated into its analysis some food studies that were nationally representative. Although both EPA and the WHO have assessed the human health risks of dioxins during the last decade, some of their objectives and processes have differed. Nonetheless, the analytical methods used and the conclusions reached have much in common. A major difference in the assessments …

Correspondence issued by the General Accounting Office with an abstract that begins "Medicare's home health benefit provides skilled nursing and other services to beneficiaries who are homebound. The Department of Health and Human Services (HHS) had a long-standing policy that beneficiaries who regularly attend adult day care were not considered homebound, particularly if the purpose of attending was to receive nonmedical or custodial care. In 2000, Congress indicated that Medicare beneficiaries who attended adult day care could still be considered homebound if they still met the other homebound requirements. GAO found that this clarification will have little effect on program costs or access to services because the number of affected individuals is small. On the basis of National Long Term Care Survey data, GAO estimates that 0.2 percent of elderly Medicare beneficiaries who attended adult day care had mobility or cognitive impairments that might make some eligible for Medicare home health services."

A letter report issued by the General Accounting Office with an abstract that begins "The Government Performance and Results Act (GRPA) requires federal agencies to set goals for program performance and to report annually on their progress toward achieving those goals. Agencies need to produce credible performance data to provide transparency of government operations so that Congress, program managers, and others can make informed decisions. The Reports Consolidation Act of 2000 requires agencies to assess the completeness and reliability of their performance data. However, GAO found that only five of the 24 Chief Financial Officers (CFO) Act agencies' assessed the completeness and the reliability of their performance data in the transmittal letters accompanying their performance reports for fiscal year 2000. The other agencies somewhat discussed the quality of their performance data elsewhere in their performance reports. None of the agencies identified any material inadequacies with their performance data. However, concerns about the quality of performance data were identified by the inspector general as either a major management challenge or included in the discussion of other challenges for 11 of the 24 agencies. Although not required, discussing the performance reports in the standard or method used to assess the completeness and …

A letter report issued by the General Accounting Office with an abstract that begins "This report discusses the budgetary implications of selected program reforms discussed in GAO work but not yet implemented or enacted. To help congressional budget and appropriations committees identify ways to reduce federal spending or increase revenues, this year's report contains more than 100 examples of budget options organized by budget function. Where possible, budgetary savings estimates provided by the Congressional Budget Office or the Joint Committee on Taxation are presented."

Testimony issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs (VA) will provide $25 billion in compensation and pension benefits in fiscal year 2002 to more than three million veterans, dependents and survivors. For years, the compensation and pension claims process has been subject to long long waits for decision and large claims backlogs. VA's goal for fiscal year 2003 is to complete accurate decisions on rating-related claims in an average of 100 days. To achieve this, the Veterans Benefits Administration (VBA) is focusing on increasing production of rating decisions and reducing the inventory of claims to about 250,000. As of the end of March 2002, VBA was completing claims in an average of 224 days and had an inventory of about 412,000 claims. VBA is trying to significantly increase regional offices' rating decision production to reduce the inventory, and, in turn, reduce the time required to complete decisions. VBA expects to increase production by hiring more staff and increasing the proficiency of new staff. Although VBA has recently increased its production and reduced its inventory, meeting its production and inventory reduction and its timeliness goals will be challenging."

Testimony issued by the General Accounting Office with an abstract that begins "The events of September 11 imposed new demands on the federal budget, while pent-up demands from years of fighting deficits remain. In the past, GAO has suggested four broad principles for a budget process. That process should (1) provide information on the long-term impact of decisions, both macro--linking fiscal policy to the long-term economic outlook--and micro--providing recognition of the long-term spending implications of government commitments; (2) provide information and focus on important macro trade-offs--e.g., between investment and consumption; (3) provide information to make informed trade-offs between missions and between the different policy tools of government; and (4) be enforceable, provide for control and accountability, and be transparent, using clear, consistent definitions. New rules and goals will be necessary to ensure fiscal discipline and to focus on long term implications of decisions. The federal government still needs a decision-making framework to evaluate choices between today's and future needs. Amending the current Budget Enforcement Act without setting realistic caps and addressing mandatory programs is unlikely to be successful because the original act used limited actions to achieve a balanced budget. A budget process appropriate for the early 21st century needs …

Testimony issued by the General Accounting Office with an abstract that begins "The District of Columbia school system, with help from the U.S. Army Corps of Engineers (Corps), has made considerable progress in fixing roofs, replacing windows, repairing bathrooms, and completing other maintenance work that has been neglected for years. The D.C. school system is now addressing the more complex task of modernizing--either through renovation or through new construction--virtually every public school in the city. In April 1998, the school system entered into an agreement with the Corps for engineering, procurement, and technical assistance. In December 2000, the D.C. Board of Education approved a facility master plan that would modernize 10 schools annually over 10 to 15 years at a cost of $1.3 billion. Historically significant buildings cannot be razed, however, and are costly to redesign. So far, construction costs are running significantly higher than estimated by the facility master plan. The scope of the work has been expanded to recognize community needs for some special facilities. In examining the Washington Gas Light Company's records of quality inspections for the work it managed for the school system, GAO found that 77 percent of all projects lacked evidence of quality inspections. …