A letter report issued by the General Accounting Office with an abstract that begins "The Veterans Benefits Administration (VBA) provided $23 billion in monthly cash benefits to 3.2 million disabled veterans and their families through its compensation and pension program in fiscal year 2001. In the same year, VBA mailed 1.2 million "notification" letters to veterans and their families, informing them of VBA's decisions on compensation or pension benefits claims filed. VBA also sent 1.2 million "development" letters in fiscal year 2001 requesting information in order to make a decision on claims. VBA found in 1995 that its notification and development letters failed to communicate adequately, and launched an initiative, called Reader-Focused Writing, to improve its written communications. In its letters, VBA clearly explained some, but not all, of the key aspects that claimants needed to understand. Beyond the lack of clarity in these letters, various writing deficiencies, such as sequencing and formatting problems, reduced the value of VBA's letters. First, in many of its rating decision documents and development letters, VBA attempts to achieve more than one objective and, in doing so, compromises clarity for the reader. Second, although VBA's central office and some regional offices have developed boilerplate …

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."

A letter report issued by the General Accounting Office with an abstract that begins "U.S. officials are interested in transferring some government social welfare functions to nongovernmental organizations (NGOs). One area is in the delivery of foreign assistance to developing countries and countries transitioning from communism to market-oriented democracy. Many NGOs active in international development have years of experience working overseas and have received millions of dollars in funds from private sources as well as the U.S. government. USAID directed $4 billion of its $7.2 billion assistance funding to NGOs in fiscal year 2000. However, the amount of funding provided by specific types of assistance is unknown, because USAID lacks comprehensive and reliable data. USAID uses various types of contracts, grants, and cooperative agreements to provide assistance through NGOs. This range of funding mechanisms allows USAID flexibility to draw on the strengths and expertise of a large community of experienced NGOs. The different mechanisms have advantages and disadvantages in terms of cost, time, selection of potential implementers, and USAID's authority to oversee assistance activities. Compared with USAID, official donors provide more of their funding to foreign governments and private donors and spend more of their funding on unsolicited proposals. USAID …

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 "Breast cancer is the second leading cause of cancer deaths among American women. In 2001, 192,200 new cases of breast cancer were diagnosed and 40,200 women died from the disease. The probability of survival increases significantly, however, when breast cancer is discovered in its early stages. Currently, the most effective technique for early detection of breast cancer is screening mammography, an X-ray procedure that can detect small tumors and breast abnormalities up to two years before they can be detected by touch. Nationwide data indicate that mammography services are generally adequate to meet the growing demand. Between 1998 and 2000, both the population of women 40 and older and the extent to which they were screened increased by 15 percent. Although mammography services are generally available, women in some locations have problems obtaining timely mammography services in some metropolitan areas. However, the greatest losses in capacity have come in rural counties. In all, 121 counties, most of them rural, have experienced a drop of more than 25 percent in the number of mammography machines in the last three years. Officials from 37 of these counties reported …

A chapter report issued by the General Accounting Office with an abstract that begins "Extensive markup language (XML) is a flexible, nonproprietary set of standards designed to facilitate the exchange of information among disparate computer systems using Internet protocols. Although XML's technical standards, such as specifications for tagging, exchanging, and displaying information, have largely been worked out by commercial standards setting organizations and are in use, equally important business standards are not as mature and may complicate near-term implementation. Standards are not yet complete for (1) identifying potential business partners for transactions, (2) exchanging precise technical information about the nature of proposed transactions that partners can agree to, and (3) executing agreed-upon transactions in a formal, legally binding manner. The federal government faces many challenges as it attempts to gain the most from XML's potential. First, no explicit governmentwide strategy for XML adoption has been defined to guide agency implementation efforts and ensure that agency enterprise architectures address XML incorporation. Second, federal agencies have not yet identified and consolidated their needs for effective representation before key standards setting bodies. Third, the government has yet to establish a registry of government-unique XML data structures for systems developers to consult when building …

A briefing report issued by the General Accounting Office with an abstract that begins "The attacks of September 11, 2001, and recent anthrax exposures have heightened long-standing concerns about the proliferation of biological weapons and the United States' ability to quickly respond to such incidents. The United States must identify technologies to protect against biological weapons, such as anthrax, without harming humans. Ionizing radiation has emerged as the leading current technology for mail sanitization. However, ionizing radiation may have adverse effects on mailed material, and it may not be applicable to some types of parcels, boxes, and large packages. In addition, applying ionizing radiation in a mail-processing environment requires radiation and biohazard precautions, such as shielding the radiation source and wearing protective gear."

A letter report issued by the General Accounting Office with an abstract that begins "In exchange for the possibility of dismissed charges or reduced sentences, defendants with substance abuse problems agree to be assigned to drug court programs. In drug courts, judges generally preside over the proceedings; monitor the progress of defendants; and prescribe sanctions and rewards in collaboration with prosecutors, defense attorneys, and treatment providers. Most decisions about drug court operations are left to local jurisdictions. Although programs funded by the Drug Court Program Office (DCPO) must collect and provide performance measurement and outcome data, the Department of Justice (DOJ) has not effectively managed this effort because of (1) its inability to readily identify the universe of DCPO-funded drug court programs, including those subject to DCPO's data collection reporting requirements; (2) its inability to accurately determine the number of drug court programs responding to DCPO's semiannual data collection survey; (3) inefficiencies in the administration of DCPO's semiannual data collection effort; (4) the elimination of post-program impact questions from the data collection survey effort; and (5) the lack of use of the Drug Court Clearinghouse. Various administrative and research factors have also hampered DOJ's ability to complete the two-phase National …

A letter report issued by the General Accounting Office with an abstract that begins "Since 1986, China has narrowed the gap between the U.S. and Chinese semiconductor manufacturing technology from between seven to 10 years to two years or less. China's success in acquiring manufacturing technology from abroad has improved its semiconductor manufacturing facilities for more capable weapons systems and advanced consumer electronics. The multilateral Wassenaar Arrangement on Export Controls for Conventional Arms and Dual-Use Goods and Technologies has not affected China's ability to obtain semiconductor manufacturing equipment because the United States is the only member of this voluntary arrangement that considers China's acquisition of semiconductor manufacturing equipment a cause for concern. Under the Export Administration Regulations pertaining to China, the general licensing policy is to approve applications, except those items that would make a direct and significant contribution to specific areas of China's military. Furthermore, U.S. agencies have not done the analyses, such as assessing foreign availability of this technology or the cumulative effects of such exports on U.S. national security interests, necessary to justify such a practice or serve as the basis for licensing decisions. Consequently, the executive branch lacks a sound, well-documented basis for making export-licensing decisions …

A letter report issued by the General Accounting Office with an abstract that begins "In recent years, concerns have been raised that new courtrooms continue to be built for district judges, even though existing courtrooms appear to be under used. The judiciary wants to maintain its one-judge, one-courtroom policy because of concerns about the effect of shared courtroom space on judicial administration. The judiciary has not, however, determined whether courtroom sharing may be possible among senior judges--the likeliest candidates for such an arrangement because of their reduced caseloads. Some active and senior judges in areas with a courtroom shortage are currently sharing space. Many of these judges oppose courtroom sharing because they believe that it interferes with the courts business and harms the judicial process. The judiciary plans to have some senior judges share space in future courthouse projects. Significant courtroom sharing appears unlikely in the near future, even among senior judges."

A letter report issued by the General Accounting Office with an abstract that begins "Federal programs in the Federal Housing Administration (FHA), the Department of Veterans Affairs (VA), and the Rural Housing Service (RHS) promote mortgage financing for low-income, first-time, minority, veteran, and rural home buyers. Congress has also chartered private corporations--Fannie Mae and Freddie Mac--to provide mortgage lending and to promote homeownership opportunities. Many homeowners fall behind in their mortgage payments each year due to unemployment, health problems, or the death of a provider. To avoid high cost foreclosure proceedings when home buyers fall behind on their obligations, FHA, VA, and RHS instruct mortgage servicers, typically large financial institutions, to assist the home buyers in bringing their mortgage payments current. Despite these efforts, in 118,000 cases in 2000 the mortgage servicers engaged in various foreclosure proceedings under the direction of the organizations. FHA procedures delay the initiation of critical steps necessary to preserve the value of foreclosed properties and to sell them quickly. Although Fannie Mae, Freddie Mac, VA, and RHS designate one entity as responsible for the custody, maintenance, and sale of foreclosed properties, FHA divides these responsibilities between its mortgage servicers and management and marketing contractors, which …

A letter report issued by the General Accounting Office with an abstract that begins "Since 1980 Congress has passed laws to facilitate the transfer of technology from federal laboratories to U.S. businesses. In particular, the National Competitiveness Technology Transfer Act of 1989 authorized federal laboratories operated by contractors, including the Department of Energy's (DOE) national laboratories, to enter into cooperative research and development agreements (CRADA). Under a CRADA, the partner and DOE laboratory agree to jointly conduct research and typically share the research costs. By fiscal year 1992, DOE's national laboratories were among the leading federal laboratories participating in CRADAs. Recently however, the 12 laboratories that DOE surveyed have substantially reduced their CRADA partnerships and their technical assistance to small businesses. Instead, the laboratories have increasingly transferred technology through agreements that did not involve collaborative research and were funded by a business or other nonfederal entity. Managers at most of the laboratories say the lack of dedicated funding for technology for transfer to technology partnerships, including funding targeted to small businesses, is the most important barrier to their technology transfer activities. Managers at most laboratories said that DOE's lack of a high-level, effective advocate for technology transfer and DOE's lack …

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 Metropolitan Area Acquisition (MAA) program provides local telecommunications services to federal agencies in certain U.S. cities. The General Services Administration (GSA) began the program in 1997 to achieve immediate, substantial, and sustained price reductions for local telecommunications for agencies; to expand their choices of high-quality services; and to encourage cross-agency sharing of resources. Service providers that are awarded contracts under the program are allowed to compete for GSA's FTS2001 long distance service contracts, so that federal agencies may potentially acquire end-to-end local and long distance telecommunications services from one source. Only five of the 19 metropolitan areas that were scheduled to switch from existing services to MAA services by or before March 2002 have done so. Although the program was intended to take advantage of emerging competition in the local telecommunications market, it has been beset by implementation challenges, including access and use of building riser cabling, the transfer of local numbers between service providers, and a contractor's financial problems. On top of the cost of the contract services, GSA charges customer agencies fees that range from about nine to 97 percent or from $1.20 …

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Justice (DOJ) recovered more than $1.2 billion in health care fraud cases in fiscal year 2001. The False Claims Act bolstered DOJ's recoveries and enabled the government to seek damages and penalties against providers who knowingly submitted fraudulent bills to Medicare, Medicaid, or other government programs. In the late 1990s, industry representatives voiced concerns that DOJ had over zealously pursued hospitals, conducted unwarranted investigations, and demanded large penalties for unintentional errors. In response, DOJ issued guidance that emphasized the importance of using the act in a fair and even-handed manner and introduced new procedures for national initiatives. DOJ requires all U.S. Attorneys' Offices that pursue civil health care fraud to annually certify their compliance with the guidance. DOJ appears to be conducting its three national initiatives consistent with the guidance. U.S. Attorneys' Offices that GAO visited had coordinated their activities with the national initiative working groups and, as the guidance requires, took each hospital's unique circumstances into consideration in resolving these matters. Representatives from the American Hospital Association and the state hospital associations GAO spoke to were generally satisfied that U.S. Attorneys' Offices …

A letter report issued by the General Accounting Office with an abstract that begins "Subtitle A of Title V of the Gramm-Leach-Bliley Act (GLBA) of 1999 requires that each financial institution, which is defined to include most insurance providers or companies, has "an affirmative and continuing obligation to respect the privacy of its customers and to protect the security and confidentiality of those customers' nonpublic personal information." This prohibits the disclosure of consumers' nonpublic personal information to any entity that is not an affiliate of, or related by common ownership or control, to the institution unless the consumer is given an opportunity to opt out of such disclosure. Also, financial institutions must provide consumers with privacy notices that explain the institution's policies and practices for disclosure. Subtitle A calls upon federal regulators to (1) issue regulations implementing disclosure-related requirements and (2) establish standards for safeguarding the privacy and integrity of customer information and records. The act also requires state insurance authorities to enforce its provisions by adopting regulations for both information disclosure and information safeguards. As of March 2002, all of the states and the District of Columbia have acted to ensure that insurance companies under their jurisdiction meet Subtitle …

A letter report issued by the General Accounting Office with an abstract that begins "Although most federal contracts are awarded through competition, the government also buys unique products and services, including sophisticated weapons systems, for which it cannot always rely on competition to get the best prices and values. Instead, it uses a single source for its procurements. In these cases, contractors and subcontractors provide the government with cost or pricing data supporting their proposed prices and certify that the data submitted are accurate, complete, and current, as required by the Truth in Negotiations Act. This ensures that the government has the data it needs to effectively negotiate with the contractor and avoid paying inflated prices. The government can waive the requirement for certified data in exceptional cases. In these instances, contracting officers use other techniques to arrive at fair and reasonable prices. Using the Department of Defense's (DOD) contract database, GAO found 20 waivers, each valued at more than $5 million, in fiscal year 2000. The total value of these waivers was $4.4 billion. In each case, the contract pricing or waiver documents stated that sufficient information was available to determine the price to be fair and reasonable without …

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 "Concerned that Title I of the Elementary and Secondary Education Act (ESEA) had not significantly improving the educational achievements of children at risk, Congress mandated major changes in 1994. States were required to adopt or develop challenging curriculum content and performance standards, assessments aligned with content standards, and accountability systems to measure progress in raising student achievement. In return, states were given greater flexibility in the use of Title I and other federal funds. The No Child Left Behind Act of 2001 augments the assessment and accountability requirements that states must implement and increases the stakes for schools that fail to make adequate progress. The 1994 legislation required states to comply with the requirements by January 2001 but allowed the Department of Education to extend that deadline. Education has granted waivers to 30 states to give them more time to meet all requirements. If states fail to meet the extended timeliness, they are subject to the withholding of some Title I administrative funds. Title I directors indicated that a state's ability to meet the 1994 requirements improved when both state leaders and state agency staff made …

A letter report issued by the General Accounting Office with an abstract that begins "Although pensions are an important source of income for many retirees, millions of workers lack individual pension coverage. Only half of the nation's workers have been covered by private employer-sponsored pensions since the 1970s. Traditional reforms to the voluntary, single-employer-based pension system have limited potential to expand pension coverage and improve worker benefits. These pension reforms have concentrated mainly on improving tax incentives and reducing the regulatory burden on small employers. Furthermore, efforts to increase retirement savings by restricting the use of lump-sum distributions could limit worker participation in and contributions to pension plans. Three categories of reform--pooled employer reforms, universal access reforms, and universal participation reforms--go beyond the voluntary, single-employer private pension system. Pooled employer reforms seek to increase the number of firms offering pension coverage by creating centralized third-party administration and increasing pension plan portability. Universal access reforms seek to boost savings by offering payroll-based accounts, albeit without mandating employer contributions. Universal participation reforms would mandate pension availability and participation for all workers, similar to the existing Social Security system."

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 "Last year the United States proposed that the World Bank and other development banks distribute more grants to the world's poorest countries to help ease their long-term debt burdens. The United States recommended that grants replace up to half of all future lending. The proposal has been controversial because of its potential impact on the resources available to poor countries. The World Bank estimates that the proposal could reduce its resources by $100 billion during the next 40 years. A shift of multilateral loans to grants would reduce poor countries' debt burdens and increase their ability to repay future debt. The total financial loss to the World Bank of a 50-percent shift from loans to grants during the next 40 years would be $15.6 billion in present value terms. Financing the proposal through harder terms on the remaining loans to poor countries would reduce and potentially nullify any improvement to their debt sustainability arising from the 50-percent grants proposal. However, if donor contributions to the World Bank were to increase by 1.6 percent a year, which is less than the projected rate of inflation during the …

A letter report issued by the General Accounting Office with an abstract that begins "In light of its continuing financial deterioration and its stated goal of eliminating federal operating assistance by December 2002, Amtrak undertook several steps to improve its financial condition, including changing in its routes and services. Amtrak has been unsuccessful in implementing its Network Growth Strategy to shift its route and service plans for new routes and expanded services on the freight tracks over which it operates. Two years after announcing the new strategy, Amtrak has only implemented three routes, one of which was later canceled. Amtrak still plans to implement the remaining three routes, although later than planned. Increased mail and express revenues were the cornerstone of the new strategy. However, Amtrak overestimated the mail and express revenue expected. According to Amtrak, this overestimation occurred because (1) it had no empirical basis for its revenue estimates and (2) express shippers were reluctant to enter into contracts for service that did not yet exist. Six of the planned route actions were canceled because Amtrak overestimated the revenues associated with them. Amtrak was unable to reach agreement with freight railroads because they were concerned about (1) Amtrak's plans …

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."